Facebook tracking pixelInflammatory Polyarthritis - AI-Powered ICD-10 Documentation
M13.0
ICD-10-CM
Inflammatory Polyarthritis

Find information on Inflammatory Polyarthritis diagnosis, including clinical documentation, medical coding (ICD-10, M05-M14), and healthcare guidelines. Learn about differential diagnosis, signs and symptoms, treatment options, and prognosis for inflammatory arthritis conditions like rheumatoid arthritis and psoriatic arthritis. This resource offers insights for physicians, healthcare providers, and medical coders seeking accurate and comprehensive information on Inflammatory Polyarthritis.

Also known as

Inflammatory Polyarthropathy
Undifferentiated Inflammatory Polyarthritis

Diagnosis Snapshot

Key Facts
  • Definition : Joint inflammation affecting multiple joints, often symmetrically.
  • Clinical Signs : Pain, swelling, stiffness, warmth, limited range of motion, fatigue.
  • Common Settings : Rheumatology clinics, hospitals, primary care offices.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M13.0 Coding
M05-M14

Inflammatory polyarthropathies

Covers various inflammatory joint diseases, including rheumatoid arthritis.

M00-M25

Disorders of bone density and structure

Includes other arthropathies and related bone disorders.

M30-M36

Systemic connective tissue disorders

Encompasses conditions like lupus that can cause polyarthritis.

M45-M49

Spondylopathies

Includes inflammatory spinal conditions sometimes associated with peripheral arthritis.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the polyarthritis rheumatoid?

  • Yes

    Is it seropositive?

  • No

    Is it psoriatic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Inflammatory arthritis affecting multiple joints
Rheumatoid arthritis
Psoriatic arthritis

Documentation Best Practices

Documentation Checklist
  • Inflammatory polyarthritis diagnosis documentation:
  • ICD-10 code: M05, M06, M07, M08 (specify subtype)
  • Symptom onset, duration, and location
  • Number of joints affected (5+ for polyarthritis)
  • Morning stiffness duration
  • Differential diagnosis considerations
  • Impact on daily living/functional limitations
  • Treatment plan (NSAIDs, DMARDs, biologics)

Coding and Audit Risks

Common Risks
  • Unspecified Site

    Coding inflammatory polyarthritis without specifying the affected joints leads to inaccurate coding and claims.

  • Seronegative vs. RA

    Miscoding seronegative inflammatory arthritis as rheumatoid arthritis impacts reimbursement and quality reporting.

  • Comorbidity Documentation

    Insufficient documentation of comorbidities associated with inflammatory polyarthritis affects case mix index and risk adjustment.

Mitigation Tips

Best Practices
  • Document detailed history, exam findings for accurate ICD-10 coding (M05-M14).
  • Ensure specific joint involvement, disease activity are clearly documented for proper billing.
  • Regularly review, update clinical documentation to reflect patient's current condition for compliance.
  • Use standardized terminology, SNOMED CT codes for consistent, compliant documentation of polyarthritis.
  • Follow established CDI guidelines for inflammatory polyarthritis to improve coding accuracy, reimbursement.

Clinical Decision Support

Checklist
  • 1. Morning stiffness >30min? ICD-10: M05-M14
  • 2. Arthritis >2 joints? Document joint involvement.
  • 3. Symptom duration >6 weeks? Assess & document.
  • 4. Elevated CRP/ESR? Order & review labs. Patient safety
  • 5. Rule out other causes. Differential diagnosis documented

Reimbursement and Quality Metrics

Impact Summary
  • Inflammatory Polyarthritis: Coding accuracy impacts reimbursement for M05-M14, M45, M85-M94 ICD-10 codes.
  • Proper E/M coding crucial for Polyarthritis visit reimbursement. Optimize for maximum justifiable level.
  • Rheumatoid Arthritis quality reporting tied to DMARD therapy, DAS28 scores. Impacts value-based payments.
  • Accurate documentation of inflammation, joint involvement key for Polyarthritis coding, minimizing denials.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code specific joint involvement
  • Document disease activity
  • Specify rheumatoid factor status
  • Distinguish seropositive/seronegative
  • Note extra-articular manifestations

Documentation Templates

Patient presents with inflammatory polyarthritis, characterized by persistent joint pain, swelling, and stiffness affecting multiple joints.  Differential diagnoses considered include rheumatoid arthritis, psoriatic arthritis, reactive arthritis, and enteropathic arthritis.  Onset of symptoms was gradual over [timeframe], initially affecting the [affected joints - e.g., small joints of the hands and feet] and subsequently involving [other affected joints].  Morning stiffness lasting greater than [duration] is reported.  Patient exhibits [range of motion limitations - e.g., limited range of motion in the affected joints].  Physical examination reveals [objective findings - e.g., joint tenderness, warmth, erythema, and synovitis].  Laboratory investigations include [tests ordered - e.g., complete blood count (CBC), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), rheumatoid factor (RF), anti-cyclic citrullinated peptide (anti-CCP) antibodies, HLA-B27].  Imaging studies, such as [imaging performed - e.g., x-ray, ultrasound, MRI] of the affected joints, may be ordered to assess for joint damage and erosions.  Assessment includes inflammatory polyarthritis with differential diagnosis pending further investigation.  Plan includes initiating treatment with [medications - e.g., nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs) such as methotrexate], physical therapy referral for range of motion exercises and pain management, and patient education regarding disease management and prognosis.  Follow-up appointment scheduled in [timeframe] to review laboratory and imaging results and adjust treatment plan as needed.  ICD-10 code M13.9, Arthropathy, unspecified, is provisionally assigned pending definitive diagnosis.  Medical billing codes will be finalized based on the confirmed diagnosis and treatment provided.