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ICD-10 Coding for Glomerular Basement Membrane Disease(M31.0)

Complete ICD-10-CM coding and documentation guide for Glomerular Basement Membrane Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Anti-GBM DiseaseGoodpasture Syndrome

Related ICD-10 Code Ranges

Complete code families applicable to Glomerular Basement Membrane Disease

M30-M36Primary Range

Systemic connective tissue disorders

Includes Goodpasture syndrome, which is a primary manifestation of anti-GBM disease.

Glomerular diseases

Covers nephrotic syndromes and glomerulonephritis, which may be secondary to anti-GBM disease.

Key Information: ICD-10 code for Goodpasture syndrome

Essential facts and insights about Glomerular Basement Membrane Disease

The ICD-10 code for Goodpasture syndrome is M31.0, used for hypersensitivity angiitis.

Primary ICD-10-CM Code for glomerular basement membrane

Hypersensitivity angiitis (Goodpasture syndrome)
Billable Code

Decision Criteria

clinical Criteria

  • Presence of hemoptysis and acute kidney injury with positive anti-GBM antibodies.

Applicable To

  • Goodpasture syndrome

Excludes

  • Other systemic connective tissue disorders

Clinical Validation Requirements

  • Positive anti-GBM antibodies via ELISA
  • Linear IgG deposition on kidney biopsy

Code-Specific Risks

  • Misclassification with other vasculitis codes

Coding Notes

  • Ensure documentation of both serological and biopsy findings.

Ancillary Codes

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

Nephrotic syndrome with unspecified morphologic changes

N04.9
Use when nephrotic syndrome is a secondary manifestation.

Differential Codes

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

Thrombotic microangiopathy

M31.1
Presence of microangiopathic hemolytic anemia and thrombocytopenia.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Glomerular Basement Membrane Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M31.0.

Impact

Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Always document antibody titers, Include lab results in patient records

Impact

Reimbursement: Potential denial of claims, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Ensure biopsy results confirm linear IgG deposition.

Impact

Lack of biopsy confirmation can lead to audit issues.

Mitigation Strategy

Ensure all biopsy results are documented and accessible.

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 Glomerular Basement Membrane Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Glomerular Basement Membrane Disease

Use these documentation templates to ensure complete and accurate documentation for Glomerular Basement Membrane Disease. These templates include all required elements for proper coding and billing.

Diagnosis of anti-GBM disease

Specialty: Nephrology

Required Elements

  • Patient history
  • Lab results
  • Biopsy findings

Example Documentation

Patient presents with hemoptysis and acute kidney injury. Anti-GBM antibodies positive at 45 AU/mL. Biopsy confirms linear IgG deposition.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has kidney issues.
Good Documentation Example
Patient diagnosed with anti-GBM disease confirmed by positive antibodies and biopsy.
Explanation
The good example provides specific diagnostic criteria and test results.

Need help with ICD-10 coding for Glomerular Basement Membrane Disease? Ask your questions below.

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