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Home/Diagnosis/ICD-10 Coding for Giant Cell Arteritis

ICD-10 Coding for Giant Cell Arteritis

M31.6
M31.5

Complete ICD-10-CM coding and documentation guide for icd-10 coding for giant cell arteritis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Temporal Arteritis
Cranial Arteritis
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Key Information: ICD-10 Coding for Giant Cell Arteritis

Essential facts and insights about ICD-10 Coding for Giant Cell Arteritis

Use ICD-10 code M31.6 for other giant cell arteritis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other giant cell arteritis

Billable Code
M31.6
Billable

Diagnostic Criteria

clinical:
  • • Presence of cranial symptoms and elevated inflammatory markers
documentation:
  • • Biopsy or imaging evidence of GCA

Applicable To

  • • Temporal arteritis

Important Notes

  • • Ensure documentation supports the absence of PMR when using M31.6.

Giant cell arteritis with polymyalgia rheumatica

Billable Code
M31.5
Billable

Diagnostic Criteria

clinical:
  • • Documentation of both GCA and PMR symptoms
  • • Elevated ESR or CRP
  • • Biopsy or imaging evidence

Applicable To

  • • GCA with PMR

Important Notes

  • • Ensure PMR is documented to use M31.5.
Ancillary Codes

Additional codes that may be used with this diagnosis

R51.9

Headache

Use to document associated symptoms like headache.

H53.9

Unspecified visual disturbance

Use when vision changes are present.

M35.3

Polymyalgia rheumatica

Document PMR symptoms separately if needed.

Frequently Asked Questions

What is the ICD-10 code for giant cell arteritis?

The ICD-10 code for giant cell arteritis without polymyalgia rheumatica is M31.6, while M31.5 is used when polymyalgia rheumatica is present.

How do you code giant cell arteritis with polymyalgia rheumatica?

Use ICD-10 code M31.5 for giant cell arteritis with documented polymyalgia rheumatica symptoms.

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