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Home/Diagnosis/ICD-10 Coding for Polyarthritis

ICD-10 Coding for Polyarthritis

M06.4
M13.0

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

Also Known as:
Inflammatory polyarthropathy
Polyarthritis NOS
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Key Information: ICD-10 Coding for Polyarthritis

Essential facts and insights about ICD-10 Coding for Polyarthritis

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

  • • Symmetric joint involvement with elevated inflammatory markers

Applicable To

  • • Symmetric small joint involvement
  • • Elevated CRP/ESR
  • • Morning stiffness >1hr

Important Notes

  • • Ensure documentation specifies inflammatory nature and affected joints.

Polyarthritis, unspecified

Billable Code
M13.0
Billable

Applicable To

  • • Non-specific joint pain

Important Notes

  • • Avoid using this code if specific arthritis type can be determined.
Ancillary Codes

Additional codes that may be used with this diagnosis

R50.9

Fever, unspecified

Use to indicate fever if present alongside polyarthritis.

Frequently Asked Questions

What is the ICD-10 code for polyarthritis?

The ICD-10 code for inflammatory polyarthropathy is M06.4, while unspecified polyarthritis is coded as M13.0.

How do you code inflammatory polyarthropathy?

Inflammatory polyarthropathy is coded as M06.4, requiring documentation of symmetric joint involvement and elevated inflammatory markers.

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