ICD-10 Coding for Rheumatoid Arthritis with Rheumatoid Factor(M05.79)
Complete ICD-10-CM coding and documentation guide for Rheumatoid Arthritis with Rheumatoid Factor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Rheumatoid Arthritis with Rheumatoid Factor
M05-M06Primary Range
Rheumatoid arthritis and related conditions
This range includes codes for rheumatoid arthritis with and without rheumatoid factor, covering various manifestations and complications.
Key Information: ICD-10 code for rheumatoid arthritis with rheumatoid factor
Essential facts and insights about Rheumatoid Arthritis with Rheumatoid Factor
Primary ICD-10-CM Code for rhesus factor arthritis
Decision Criteria
clinical Criteria
- Presence of RF and multiple joint involvement
Applicable To
- RA with RF affecting multiple joints
Excludes
- Juvenile rheumatoid arthritis (M08.-)
Clinical Validation Requirements
- RF positive ≥14 IU/mL
- Anti-CCP >20 U
- ESR/CRP elevated
Code-Specific Risks
- Ensure documentation specifies multiple joint involvement.
Coding Notes
- Ensure serologic status and joint involvement are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Rheumatoid lung disease with rheumatoid arthritis
M05.1xDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified osteoarthritis, unspecified site
M19.90Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Rheumatoid Arthritis with Rheumatoid Factor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M05.79.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always include RF and anti-CCP results in notes.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May trigger audits due to lack of specificity., Data Quality: Impacts data accuracy for clinical research.
Mitigation Strategy
Use specific codes like M05.79 when multiple joints are involved.
Impact
Lack of RF and anti-CCP documentation can trigger audits.
Mitigation Strategy
Ensure all lab results are included in patient records.
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 Rheumatoid Arthritis with Rheumatoid Factor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Rheumatoid Arthritis with Rheumatoid Factor
Use these documentation templates to ensure complete and accurate documentation for Rheumatoid Arthritis with Rheumatoid Factor. These templates include all required elements for proper coding and billing.
Rheumatology Progress Note
Specialty: RheumatologyRequired Elements
- Serologic status
- Joint involvement
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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