ICD-10 Coding for Raynaud's Disease(I73.00, I73.01, M34.0)
Complete ICD-10-CM coding and documentation guide for Raynaud's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Raynaud's Disease
I73.0-I73.9Primary Range
Other peripheral vascular diseases
This range includes codes for Raynaud's disease, both primary and secondary forms.
Systemic sclerosis
This range is relevant for secondary Raynaud's due to systemic sclerosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I73.00 | Raynaud's syndrome without gangrene | Use when Raynaud's is idiopathic and no gangrene is present. |
|
| I73.01 | Raynaud's syndrome with gangrene | Use when gangrene is present in Raynaud's syndrome. |
|
| M34.0 | Progressive systemic sclerosis | Use as primary when Raynaud's is secondary to systemic sclerosis. |
|
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 Raynaud's disease
Essential facts and insights about Raynaud's Disease
Primary ICD-10-CM Codes for raynaud's disease
Decision Criteria
clinical Criteria
- Symmetric attacks without ischemic damage
Applicable To
- Primary Raynaud's
Excludes
- Raynaud's syndrome with gangrene (I73.01)
Clinical Validation Requirements
- Symmetric attacks
- No ischemic damage
Code-Specific Risks
- Misclassification if secondary cause is present
Coding Notes
- Ensure documentation specifies primary nature and absence of gangrene.
I73.01 - Raynaud's syndrome with gangrene
Use when gangrene is present in Raynaud's syndrome.
Applicable To
- Raynaud's with digital ulcers
Excludes
- Raynaud's syndrome without gangrene (I73.00)
Clinical Validation Requirements
- Digital ulcers
- Necrosis
Coding Notes
Document gangrene presence clearly.
M34.0 - Progressive systemic sclerosis
Use as primary when Raynaud's is secondary to systemic sclerosis.
Applicable To
- Systemic sclerosis with Raynaud's
Clinical Validation Requirements
- Positive ANA
- Abnormal nail fold capillaries
Coding Notes
Sequence systemic sclerosis first.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Raynaud's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I73.00.
Impact
Clinical: Inaccurate diagnosis and treatment, Regulatory: Potential audit issues, Financial: Claim denials
Mitigation Strategy
Use specific terms like 'primary' or 'secondary', Document objective findings
Impact
Reimbursement: Potential denial of claims, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure underlying condition is coded first.
Impact
Coding Raynaud's without specifying primary or secondary.
Mitigation Strategy
Require detailed documentation of type and associated conditions.
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 Raynaud's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Raynaud's Disease
Use these documentation templates to ensure complete and accurate documentation for Raynaud's Disease. These templates include all required elements for proper coding and billing.
Rheumatology Progress Note
Specialty: RheumatologyRequired Elements
- Subjective symptoms
- Objective findings
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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