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ICD-10 Coding for Antisynthetase Syndrome(M35.8)

Complete ICD-10-CM coding and documentation guide for Antisynthetase Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Anti-synthetase SyndromeASyS

Related ICD-10 Code Ranges

Complete code families applicable to Antisynthetase Syndrome

M35-M36Primary Range

Other systemic involvement of connective tissue

This range includes conditions with systemic connective tissue involvement, such as antisynthetase syndrome.

Other interstitial pulmonary diseases

This range is relevant for coding interstitial lung disease, a common manifestation of antisynthetase syndrome.

Disorders of muscles

This range includes myositis, which is often associated with antisynthetase syndrome.

Key Information: ICD-10 code for antisynthetase syndrome

Essential facts and insights about Antisynthetase Syndrome

The ICD-10 code for antisynthetase syndrome is M35.8.

Primary ICD-10-CM Code for antisynthetase syndrome

Other specified systemic involvement of connective tissue
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of anti-ARS antibodies and clinical features like ILD or myositis.

Applicable To

  • Antisynthetase syndrome

Excludes

Clinical Validation Requirements

  • Positive anti-ARS antibody
  • Presence of interstitial lung disease, myositis, or arthritis

Code-Specific Risks

  • Incorrectly coding as dermatomyositis without antibody confirmation

Coding Notes

  • Ensure documentation of specific antibodies and clinical features to support coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Interstitial pulmonary disease, unspecified

J84.9
Use for interstitial lung disease associated with antisynthetase syndrome.

Myositis, unspecified

M60.9
Use for myositis associated with antisynthetase syndrome.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Dermatopolymyositis, unspecified

M33.9
Use M33.9 for dermatomyositis without specific antisynthetase antibodies.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Antisynthetase Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M35.8.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Verify antibody test results are documented., Ensure clinical features are clearly recorded.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation includes specific antibody testing results.

Impact

Missing antibody confirmation or clinical features.

Mitigation Strategy

Regular audits of patient records for complete documentation.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Antisynthetase Syndrome, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Antisynthetase Syndrome

Use these documentation templates to ensure complete and accurate documentation for Antisynthetase Syndrome. These templates include all required elements for proper coding and billing.

Rheumatology assessment for suspected antisynthetase syndrome

Specialty: Rheumatology

Required Elements

  • Antibody testing results
  • Clinical features like ILD or myositis
  • HRCT and CK levels

Example Documentation

Anti-Jo1 antibody confirmed; HRCT shows NSIP; CK 850 U/L with proximal muscle weakness.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Positive ANA with lung issues.
Good Documentation Example
Anti-Jo1 antibodies confirmed by immunoprecipitation; HRCT shows basilar reticulation.
Explanation
The good example specifies the antibody type and clinical findings, supporting accurate coding.

Need help with ICD-10 coding for Antisynthetase Syndrome? Ask your questions below.

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