2025 ICD-10-CM code M32
Systemic lupus erythematosus (SLE). This autoimmune disease causes the body's immune system to attack healthy tissues in many parts of the body.
Medical necessity for SLE treatment is established by demonstrating clinical manifestations such as joint inflammation, skin rashes, kidney involvement, and other organ-specific symptoms, supported by laboratory and imaging findings. Treatment aims to control disease activity, prevent flares, minimize organ damage, and improve quality of life.
Diagnosis and treatment is typically managed by rheumatologists. They conduct physical exams, order laboratory tests (such as antinuclear antibody tests and complete blood counts), assess organ involvement, prescribe medications (like NSAIDs, corticosteroids, immunosuppressants, and antimalarials), and monitor disease activity.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Systemic connective tissue disorders (M30-M36)
In simple words: Lupus is a disease where your body's defense system attacks its own healthy tissues by mistake. This can cause problems in different parts of the body like the skin, joints, kidneys, brain, and other organs. The symptoms can be different for everyone and can come and go. Some common symptoms are joint pain and swelling, rashes (especially a butterfly-shaped rash on the face), fever, fatigue, and chest pain.
Systemic lupus erythematosus (SLE), often referred to as lupus, is a chronic autoimmune disease that can affect various parts of the body including skin, joints, kidneys, brain, and other organs. The body’s immune system mistakenly attacks healthy tissues, causing inflammation and damage. Symptoms vary widely, and there are different forms of lupus such as discoid lupus erythematosus, neonatal lupus, and subacute cutaneous lupus erythematosus.
Example 1: A 25-year-old female presents with fatigue, joint pain, a butterfly rash on her face, and recent hair loss. Blood tests reveal positive antinuclear antibodies. She is diagnosed with SLE and started on hydroxychloroquine., A 40-year-old male experiences persistent fever, chest pain, and swollen lymph nodes. After extensive testing, including a kidney biopsy showing inflammation, he receives a diagnosis of SLE with lupus nephritis. Treatment involves corticosteroids and immunosuppressants., A newborn infant develops a skin rash shortly after birth. The mother has SLE. The infant is diagnosed with neonatal lupus, a condition that typically resolves on its own without long-term effects.
Documentation should include signs and symptoms, medical history, physical exam findings, laboratory results (including specific antibody tests), imaging studies, biopsy results (if applicable), and assessment of organ involvement. Disease severity and activity should also be noted.
** The information provided is valid as of December 1st, 2024 and is for informational purposes only. Always consult official coding guidelines and medical professionals for accurate diagnosis and billing. For more detailed or specific code information, use specialized medical coding resources like iFrameAI.
- Specialties:Rheumatology, Nephrology, Dermatology, Cardiology, Pulmonology, Neurology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office