2025 ICD-10-CM code M33.11
(Active) Effective Date: N/A Revision Date: N/A Musculoskeletal - Systemic connective tissue disorders Chapter XIII: Diseases of the musculoskeletal system and connective tissue Feed
Other dermatomyositis with respiratory involvement is a systemic inflammatory condition affecting blood vessels and muscles, accompanied by a skin rash and breathing difficulties.
Modifiers may be applicable depending on the specific circumstances of the encounter and the services rendered.Consult the appropriate coding guidelines for modifier use.
Medical necessity for the diagnosis and treatment of dermatomyositis with respiratory involvement is established when the patient exhibits characteristic symptoms (muscle weakness, rash, respiratory difficulties), and diagnostic testing confirms the diagnosis.Treatment is medically necessary to manage symptoms, prevent complications, and improve quality of life.
Diagnosis and management of dermatomyositis with respiratory involvement requires a multidisciplinary approach, potentially involving rheumatologists, pulmonologists, dermatologists, and other specialists.Responsibilities include thorough history-taking, physical examination, ordering and interpreting diagnostic tests, and developing and monitoring treatment plans, including medication management, respiratory support, and physical/occupational therapy.
- Chapter XIII: Diseases of the musculoskeletal system and connective tissue
- M30-M36 (Systemic connective tissue disorders)
In simple words: This condition is a type of autoimmune disorder causing inflammation in the muscles and blood vessels.It often involves a skin rash, muscle weakness and trouble breathing. Doctors use tests like blood work and MRI scans to diagnose it, and treatment may involve steroids and other medications to reduce inflammation and support breathing.
Other dermatomyositis with respiratory involvement is a systemic inflammatory condition affecting blood vessels and muscles, presenting with a skin rash and respiratory issues due to an autoimmune disorder.Symptoms may include muscle weakness, stiffness, soreness, dysphagia, rash on the eyelids, elbows, knees, knuckles, fingers, and toes, skin ulcerations, subcutaneous calcium deposits, dyspnea, and shortness of breath. Diagnosis is based on patient history, physical examination, MRI, muscle enzyme levels, ESR, ANA, antigen and antibody assays, EMG, and muscle and skin biopsies. Treatment involves corticosteroids (e.g., prednisone) for inflammation, respiratory therapy (potentially including mechanical ventilation), and immunosuppressive drugs.
Example 1: A 55-year-old female presents with progressive muscle weakness, difficulty swallowing, and a characteristic heliotrope rash on her eyelids.She also reports shortness of breath.Further investigations confirm the diagnosis of dermatomyositis with respiratory involvement., A 60-year-old male with a history of autoimmune disease experiences worsening muscle pain and weakness, along with a new-onset cough and dyspnea.Laboratory findings reveal elevated muscle enzymes and positive ANA.Respiratory support is required., A 48-year-old female presents with a dermatomyositis rash and mild muscle weakness initially. However, she progressively develops severe respiratory compromise, necessitating mechanical ventilation and intensive respiratory therapy.
Detailed patient history including onset and progression of symptoms; results of physical examination; laboratory findings (muscle enzymes, ESR, ANA, antibody tests); imaging studies (MRI); EMG results; biopsy reports (muscle and skin); documentation of respiratory function tests (e.g., pulmonary function tests, arterial blood gases); treatment plan and response to therapy;any complications encountered.
** This code is used for dermatomyositis with respiratory involvement that does not meet the criteria for other, more specific codes within the M33 category.Always review the complete clinical picture to ensure appropriate code selection.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes
- Specialties:Rheumatology, Pulmonology, Dermatology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office