Lupus Nephritis ICD-10-CM Codes

What lupus nephritis ICD codes can I use?

Lupus nephritis is a kidney disease that arises from systemic lupus erythematosus, commonly known as lupus. Lupus belongs to the category of autoimmune diseases, where the body's immune system mistakenly attacks its own cells and organs. This condition can lead to significant consequences for the kidneys and overall health.

If you’re looking for a lupus nephritis ICD code to use, it's important to note that there isn't a specific code dedicated to it. However, you can use an ICD-10 code that pertains to systemic lupus erythematosus, specifically those associated with kidney involvement. Here are three options you can consider:

1. M32.10 - Systemic lupus erythematosus, organ or system involvement unspecified

This ICD-10 code is meant to be used on a patient confirmed to have systemic lupus erythematosus. It’s only used if the only known fact is that they have the disease. The unspecified part of this means that the specific affected organ isn’t known or specified yet. It’s best to use a more specific code once the organ is identified.

2. M32.14 - Glomerular disease in systemic lupus erythematosus

This ICD-10 code is meant to be used on a patient confirmed to have developed glomerular disease as a result of systemic lupus erythematosus. Glomerular disease is characterized by the glomeruli being damaged due to lupus, and the damage it sustained prevents its job, which is to get rid of fluids and waste.

3. M32.15 - Tubulo-interstitial nephropathy in systemic lupus erythematosus

This ICD-10 code is meant to be used on a patient confirmed to have developed tubulo–interstitial nephropathy as a result of systemic lupus erythematosus. Tubulo-interstitial nephropathy is characterized by inflammations that affect the kidney’s tubules and interstitial tissues. This will result in the patient having fevers, rashes, and/or excessive urination (especially at night).

Which of these lupus nephritis ICD codes are billable?

All three of these lupus nephritis-related ICD-10 codes are valid and billable.

Clinical information about lupus nephritis

As we mentioned earlier, lupus nephritis is a kidney disease that emerges because of systemic lupus erythematosus. If a person has lupus nephritis, they will likely have the following symptoms:

• Fever
• Muscle pains
• Joint pains
• Joint swelling
• Rashes, especially in the face
• Foamy urine
• Blood in urine
• Edema
• Excessive urination

To treat this, healthcare professionals can provide the following: blood pressure medication, diuretics, corticosteroids, and immunosuppressive drugs, and issue a diet plan that reduces salt and protein intake. Healthcare professionals will resort to dialysis and/or kidney transplantation if the kidneys fail because of lupus nephritis.

Synonyms include:

• Systemic lupus erythematosus with multisystem involvement
• Systemic lupus erythematosus with organ/system involvement
• Systemic lupus erythematosus-related syndrome
• Nephropathy co-occurrent and due to systemic lupus erythematosus
• Nephrosis co-occurrent and due to systemic lupus erythematosus
• Nephrotic syndrome co-occurrent and due to systemic lupus erythematosus