Rheumatic Diseases in Pregnancy and their ICD-10 Codes

Rheumatic diseases like rheumatoid arthritis (RA) can cause unique challenges for women during pregnancy. In such cases, highly specialized care needs to be provided with the services of rheumatologists, nephrologists, anesthesiologists, and specialized nurses. Rheumatology medical coding involves reporting the conditions, their diagnoses and treatment procedures on the medical claims using appropriate ICD and CPT codes.

Some of the most common rheumatic conditions that may trigger during pregnancy are systemic lupus erythematosus (SLE or lupus), rheumatoid arthritis (RA), psoriatic arthritis, vasculitis, antiphospholipid syndrome and others.

ICD-10 Codes for Pregnancy Related Rheumatic Conditions

Systemic lupus erythematosus (SLE)

• M32 Systemic lupus erythematosus (SLE)
• M32.0 Drug-induced systemic lupus erythematosus
• M32.1 Systemic lupus erythematosus with organ or system involvement
  • M32.10 Systemic lupus erythematosus, organ or system involvement unspecified
  • M32.11 Endocarditis in systemic lupus erythematosus
  • M32.12 Pericarditis in systemic lupus erythematosus
  • M32.13 Lung involvement in systemic lupus erythematosus
  • M32.14 Glomerular disease in systemic lupus erythematosus
  • M32.15 Tubulo-interstitial nephropathy in systemic lupus erythematosus
  • M32.19 Other organ or system involvement in systemic lupus erythematosus
• M32.8 Other forms of systemic lupus erythematosus
• M32.9 Systemic lupus erythematosus, unspecified

Rheumatoid Arthritis

• M05 Rheumatoid arthritis with rheumatoid factor
  • M05.1 Rheumatoid lung disease with rheumatoid arthritis
  • M05.2 Rheumatoid vasculitis with rheumatoid arthritis
  • M05.3 Rheumatoid heart disease with rheumatoid arthritis
  • M05.4 Rheumatoid myopathy with rheumatoid arthritis
  • M05.5 Rheumatoid polyneuropathy with rheumatoid arthritis
  • M05.6 Rheumatoid arthritis with involvement of other organs and systems
  • M05.7 Rheumatoid arthritis with rheumatoid factor without organ or systems involvement
  • M05.8 Other rheumatoid arthritis with rheumatoid factor
  • M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified

• M06 Other rheumatoid arthritis
  • M06.0 Rheumatoid arthritis without rheumatoid factor
    • M06.00 …… unspecified site
    • M06.01 Rheumatoid arthritis without rheumatoid factor, shoulder
    • M06.02 Rheumatoid arthritis without rheumatoid factor, elbow
    • M06.03 Rheumatoid arthritis without rheumatoid factor, wristwrist
    • M06.04 Rheumatoid arthritis without rheumatoid factor, hand
    • M06.05 Rheumatoid arthritis without rheumatoid factor, hip
    • M06.06 Rheumatoid arthritis without rheumatoid factor, knee
    • M06.07 Rheumatoid arthritis without rheumatoid factor, ankle and foot
  • M06.8 Other specified rheumatoid arthritis
    • M06.80 …… unspecified site
    • M06.81 Other specified rheumatoid arthritis, shoulder
    • M06.82 Other specified rheumatoid arthritis, elbow
    • M06.83 Other specified rheumatoid arthritis, wrist
    • M06.84 Other specified rheumatoid arthritis, hand
    • M06.85 Other specified rheumatoid arthritis, hip
    • M06.86 Other specified rheumatoid arthritis, knee
    • M06.87 Other specified rheumatoid arthritis, ankle and foot
    • M06.88 …… vertebrae
    • M06.89 …… multiple sites
    • M06.8A …… other specified sites
  • M06.9 Rheumatoid arthritis, unspecified

Antiphospholipid Syndrome

• D68.61 Antiphospholipid syndrome

Psoriatic Arthritis

• L40.52 Psoriatic arthritis mutilans
• L40.59 Other psoriatic arthropathies

Vasculitis

• L95 Vasculitis limited to skin, not elsewhere classified
  • L95.0 Livedoid vasculitis
  • L95.1 Erythema elevatum diutinum
  • L95.8 Other vasculitis limited to the skin
  • L95.9 Vasculitis limited to the skin, unspecified

Immune Thrombocytopenia (ITP)

• D69.3 Immune thrombocytopenic purpura
• D69.4 Other primary thrombocytopenia

Myasthenia Gravis

• G70 Myasthenia gravis and other myoneural disorders
  • G70.0 Myasthenia gravis
  • G70.00 …… without (acute) exacerbation
  • G70.01 …… with (acute) exacerbation
  • G70.1 Toxic myoneural disorders
  • G70.2 Congenital and developmental myasthenia

Rheumatologists, gynaecologists and other specialists involved in treating these conditions can make use of the services provided by an experienced medical billing company to reduce claim denials and get reimbursed from payers on time.

Also Read Psoriatic Arthritis Documentation Related ICD-10 Codes ICD-10 Coding for Pediatric Rheumatic Diseases