ICD-10 Coding for Temporal Arteritis(M31.6)
Complete ICD-10-CM coding and documentation guide for Temporal Arteritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Temporal Arteritis
M30-M31Primary Range
Polyarteritis and related conditions
This range includes codes for arteritis, including giant cell arteritis, which is synonymous with temporal arteritis.
Key Information: ICD-10 code for temporal arteritis
Essential facts and insights about Temporal Arteritis
Primary ICD-10-CM Code for temporal arteritis
Decision Criteria
clinical Criteria
- Presence of biopsy-confirmed giant cell arteritis.
documentation Criteria
- Detailed symptom documentation including jaw claudication and vision changes.
Applicable To
- Temporal arteritis
Excludes
- Takayasu's arteritis (M31.4)
Clinical Validation Requirements
- Temporal artery biopsy confirmation
- Jaw claudication
- Elevated ESR/CRP
- Vision loss
Code-Specific Risks
- Misclassification if biopsy results are not documented
- Incorrect use if symptoms are not linked to arteritis
Coding Notes
- Ensure documentation includes specific symptoms and biopsy results to support M31.6.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Visual disturbances
H54.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other specified necrotizing vasculopathies
M31.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Temporal Arteritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M31.6.
Impact
Clinical: Misdiagnosis or delayed treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates to ensure comprehensive documentation., Regular training on documentation standards.
Impact
Reimbursement: Reduced reimbursement due to less specific coding., Compliance: Potential non-compliance with coding guidelines., Data Quality: Decreased data accuracy for clinical research.
Mitigation Strategy
Use M31.6 when criteria for giant cell arteritis are met.
Impact
Lack of biopsy documentation 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 Temporal Arteritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Temporal Arteritis
Use these documentation templates to ensure complete and accurate documentation for Temporal Arteritis. These templates include all required elements for proper coding and billing.
Initial Diagnosis of Temporal Arteritis
Specialty: RheumatologyRequired Elements
- Patient symptoms
- Biopsy results
- Lab findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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