ICD-10 Coding for Dry Mouth and Dry Eyes(M35.01, K11.7)
Complete ICD-10-CM coding and documentation guide for Dry Mouth and Dry Eyes. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dry Mouth and Dry Eyes
M35.0-M35.9Primary Range
Other systemic involvement of connective tissue
Includes Sjögren's syndrome, which is a primary cause of dry mouth and dry eyes.
Disorders of lacrimal gland
Covers dry eye syndrome, including keratoconjunctivitis sicca.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M35.01 | Sjögren's syndrome with keratoconjunctivitis | Use when Sjögren's syndrome is confirmed with keratoconjunctivitis. |
|
| K11.7 | Disturbances of salivary secretion | Use when dry mouth is documented with specific tests. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for Sjögren's syndrome with dry eyes
Essential facts and insights about Dry Mouth and Dry Eyes
Primary ICD-10-CM Codes for dry mouth and dry eyes
Decision Criteria
clinical Criteria
- Presence of keratoconjunctivitis and positive Schirmer test
Applicable To
- Sjögren's syndrome with dry eyes
Excludes
- Dry eye syndrome without Sjögren's
Clinical Validation Requirements
- Positive Schirmer test ≤5mm/5min
- Corneal staining
Code-Specific Risks
- Incorrectly coding without confirmed Sjögren's criteria
Coding Notes
- Ensure documentation supports Sjögren's diagnosis with specific tests.
K11.7 - Disturbances of salivary secretion
Use when dry mouth is documented with specific tests.
Applicable To
- Xerostomia
Excludes
- Dry mouth due to medication
Clinical Validation Requirements
- Sialometry ≤0.1 mL/min
Coding Notes
Ensure documentation specifies the cause of dry mouth.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dry Mouth and Dry Eyes to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M35.01.
Impact
Clinical: Inaccurate representation of condition severity., Regulatory: Potential audit issues for incomplete documentation., Financial: Possible reimbursement discrepancies.
Mitigation Strategy
Always document which eye is affected, Use specific codes for right, left, or bilateral
Impact
Reimbursement: May lead to lower reimbursement if not coded correctly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation of patient conditions.
Mitigation Strategy
Use K11.7 when specific tests confirm xerostomia.
Impact
Claims without biopsy or antibody confirmation are at risk.
Mitigation Strategy
Ensure all claims are supported by appropriate 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 Dry Mouth and Dry Eyes, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dry Mouth and Dry Eyes
Use these documentation templates to ensure complete and accurate documentation for Dry Mouth and Dry Eyes. These templates include all required elements for proper coding and billing.
Documenting Sjögren's Syndrome
Specialty: RheumatologyRequired Elements
- Positive Schirmer test
- Biopsy results
- Antibody tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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