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Home/Diagnosis/ICD-10 Coding for Inflammatory Polyarthropathy

ICD-10 Coding for Inflammatory Polyarthropathy

M06.4
M05.79

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

Also Known as:
Rheumatoid Arthritis with Polyarthritis
Polyarticular Inflammatory Arthritis
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Key Information: ICD-10 Coding for Inflammatory Polyarthropathy

Essential facts and insights about ICD-10 Coding for Inflammatory Polyarthropathy

Use ICD-10 code M06.4 for inflammatory polyarthropathy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Inflammatory polyarthropathy

Billable Code
M06.4
Billable

Diagnostic Criteria

clinical:
  • • Presence of polyarthritis with inflammation but no rheumatoid factor
coding:
  • • RA documented without specifying rheumatoid factor

Applicable To

  • • Rheumatoid arthritis with inflammatory polyarthropathy

Important Notes

  • • Ensure documentation specifies the absence of rheumatoid factor if using M06.4.

Rheumatoid arthritis with rheumatoid factor, multiple sites

Billable Code
M05.79
Billable

Diagnostic Criteria

clinical:
  • • Positive rheumatoid factor test
  • • Multiple joint involvement

Applicable To

  • • Seropositive rheumatoid arthritis affecting multiple joints

Important Notes

  • • Ensure documentation includes positive rheumatoid factor status.
Ancillary Codes

Additional codes that may be used with this diagnosis

M06.2

Rheumatoid bursitis

Use when bursitis is present alongside inflammatory polyarthropathy.

M06.3

Rheumatoid nodule

Use when nodules are present alongside inflammatory polyarthropathy.

Frequently Asked Questions

What is the ICD-10 code for inflammatory polyarthropathy?

The ICD-10 code for inflammatory polyarthropathy is M06.4. It is used when rheumatoid arthritis is documented with polyarthropathy but without specifying rheumatoid factor.

Can M06.4 and M05.79 be coded together?

No, M06.4 should not be coded with M05.79. M06.4 is used when rheumatoid factor is not specified, while M05.79 is for seropositive RA.

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