2025 ICD-10-CM code M30.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Musculoskeletal and Connective Tissue Diseases - Systemic connective tissue disorders Chapter 13: Diseases of the musculoskeletal system and connective tissue Feed
Polyarteritis nodosa is an inflammation and damage of small and medium arteries due to an immune system attack.
Modifiers may be used to indicate specific circumstances, such as the place of service or the type of service provided. Consult the most current coding guidelines for appropriate modifier usage.
Medical necessity for the diagnosis and management of polyarteritis nodosa is established based on the presence of clinical symptoms, laboratory findings, and histological evidence supporting the diagnosis. Treatment is medically necessary to prevent organ damage, reduce disease activity, and improve patient outcomes.The severity of the disease, the organs involved, and the response to treatment will all inform decisions regarding medical necessity for various tests and therapies.
Diagnosis and management of polyarteritis nodosa involve a multidisciplinary approach, often including rheumatologists, internists, and potentially specialists in affected organ systems.Responsibilities include performing a thorough history and physical examination, ordering appropriate laboratory tests (such as complete blood count, inflammatory markers, and ANCA), obtaining tissue biopsies for histological confirmation, and developing a treatment plan that may include immunosuppressive medications (such as corticosteroids) and other therapies to manage the disease and its complications.Ongoing monitoring and management of symptoms and potential organ damage are also crucial aspects of clinical responsibility.
- Chapter 13: Diseases of the musculoskeletal system and connective tissue
- M30-M36 (Systemic connective tissue disorders)
In simple words: Polyarteritis nodosa is a disease where your body's immune system mistakenly attacks and damages your arteries (blood vessels). This can cause pain, fever, fatigue, and problems with different organs depending on which arteries are affected. Doctors diagnose it through physical exams, blood tests, and sometimes a tissue sample.
Polyarteritis nodosa (PAN) is a systemic vasculitis characterized by necrotizing inflammation of medium-sized and small arteries.The etiology is believed to be an autoimmune response where the body's immune system attacks its own blood vessels.This leads to vessel wall damage, narrowing or occlusion of the arteries, and ischemia to the affected organs. Clinical manifestations are highly variable and depend on the organs involved, but can include abdominal pain, fever, weight loss, fatigue, muscle aches, weakness, and skin lesions. Diagnosis involves clinical evaluation, laboratory tests (including inflammatory markers and ANCA), and often biopsy to confirm the diagnosis.
Example 1: A 55-year-old male presents with fever, fatigue, weight loss, and severe abdominal pain.Laboratory tests reveal elevated inflammatory markers, and a biopsy of a suspected affected artery confirms the diagnosis of polyarteritis nodosa. Treatment with corticosteroids is initiated., A 40-year-old female with a history of hypertension and unexplained neurological symptoms undergoes diagnostic testing, revealing findings suggestive of polyarteritis nodosa affecting the nervous system.A nerve biopsy confirms the diagnosis and treatment with immunosuppressants is initiated., A 60-year-old male is admitted to the hospital with acute renal failure. Investigations reveal polyarteritis nodosa affecting the renal arteries.He requires dialysis and treatment with immunosuppressive drugs to manage the vasculitis.
Detailed history and physical examination notes, including symptoms, duration, and progression of the disease.Complete blood count, inflammatory markers (ESR, CRP), and ANCA testing results.Radiological imaging (e.g., CT angiography, MRI) findings.Histopathological results from tissue biopsy confirming the diagnosis.Documentation of treatment plan, including medications prescribed, dosages, response to treatment, and any adverse effects.Records of all follow-up visits and monitoring of disease activity.
** Polyarteritis nodosa is a rare disease, and its clinical presentation can be highly variable.Accurate coding requires careful review of the patient's clinical record and adherence to current coding guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Specialties:Rheumatology, Internal Medicine, Nephrology, Neurology
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital