2025 ICD-10-CM code E85
(Valid) Effective Date: N/A Endocrine, nutritional and metabolic diseases - Disorders of amino-acid metabolism 4 Feed
Amyloidosis
Medical necessity for tests and treatments related to amyloidosis must be supported by documentation of signs, symptoms, and diagnostic findings confirming the diagnosis. The specific type of amyloidosis and affected organs should be documented to justify the chosen treatment approach.
Diagnosis and management of amyloidosis often involve a multidisciplinary approach, including specialists in hematology, oncology, cardiology, nephrology, and neurology, depending on the type and affected organs. Clinicians are responsible for accurate diagnosis, staging, treatment planning, and long-term monitoring.
In simple words: Amyloidosis is a rare disease where abnormal proteins build up in the body's organs and tissues, causing them to not work properly. Different types of amyloidosis exist, affecting different organs and causing various symptoms like weakness, fatigue, and numbness. Diagnosis involves blood tests, biopsies, and scans. Treatment focuses on slowing down the buildup of these proteins and managing symptoms.
Amyloidosis is a group of rare, life-threatening diseases characterized by the abnormal deposition of amyloid (misfolded proteins) in various organs and tissues, disrupting normal function. Several types exist, including primary (AL), secondary (AA), familial (AF), dialysis-related (DRA), and organ-limited amyloidosis, each associated with different amyloid protein types and affected organ patterns. Symptoms vary depending on the type and involved organs but can include weakness, fatigue, shortness of breath, weight loss, enlarged tongue, numbness, tingling, pain and swelling in the extremities, and carpal tunnel syndrome. Diagnosis involves blood and urine tests, tissue biopsy, and imaging studies. Treatment aims to slow amyloid protein production, manage symptoms, and address underlying conditions.
Example 1: A 60-year-old patient presents with fatigue, shortness of breath, and swelling in the ankles. After diagnostic tests, including a biopsy, they are diagnosed with AL amyloidosis affecting the heart and kidneys., A patient with long-term rheumatoid arthritis develops proteinuria and kidney dysfunction. A kidney biopsy reveals AA amyloidosis secondary to the underlying inflammatory condition., Genetic testing identifies a mutation associated with familial amyloidosis (AF) in a patient with a family history of the disease, even in the absence of current symptoms.
Documentation should include detailed clinical findings, results of laboratory tests (blood and urine tests, serum free light chains, proteinuria), biopsy results with amyloid typing, and imaging studies (echocardiogram, CT, MRI). Family history of amyloidosis should also be documented.
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- Specialties:Hematology, Oncology, Cardiology, Nephrology, Neurology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office