ICD-10-CM CODING
FOR SYSTEMIC LUPUS ERYTHEMATOSUS (SLE)
U.S. HEALTHCARE PROVIDERS MUST TRANSITION TO ICD-10 BY OCTOBER 1, 20151
In the United States, providers and payers currently use ICD-9-CM as the standard classification system to accurately
report and track the occurrence of diseases and injuries. However, starting October 1, 2015, all HIPAA-covered
providers must use ICD-10-CM codes on claim forms to identify patients’ conditions.1,2
DIAGNOSIS CODING FOR SYSTEMIC LUPUS ERYTHEMATOSUS WILL CHANGE
The ICD-10 codes function the same as before, but represent a change in format and level of clinical detail. The table
below outlines how the ICD-9-CM codes map to the ICD-10-CM codes.2,3
ICD-10-CM
ICD-9-CM
Systemic lupus erythematosus
• They are 3-5 digits
- The first digit is numeric or alpha
(E or V)
- Digits 2-5 are numeric
- A decimal is used after the third
digit
Coding for SLE5
710.0
Descriptor
Code Sets3
Code Sets3
Coding for SLE4
Code
Code
Descriptor
M32.0
Drug-induced systemic lupus erythematosus
M32.10
Systemic lupus erythematosus, organ or system
involvement unspecified
M32.11
Endocarditis in systemic lupus erythematosus
M32.12
Pericarditis in systemic lupus erythematosus
M32.13
Lung involvement in systemic lupus
erythematosus
M32.14
Glomerular disease in systemic lupus
erythematosus
M32.15
Tubulo-interstitial nephropathy in systemic
lupus erythematosus
M32.19
Other organ or system involvement in systemic
lupus erythematosus
M32.8
Other forms of systemic lupus erythematosus
M32.9
Systemic lupus erythematosus, unspecified
• They are 3-7 characters
- The first character is alpha
- The second character is numeric
- Characters 3-7 are alpha or numeric
- A decimal is used after the third character
Note: Responsibility for correct coding lies with the provider of services. The codes included in this chart
are not intended to encourage or suggest the use of any drug that is not consistent with FDA-approved
use of that drug.
SELECTED KEY STEPS TO ASSIST THROUGH THE TRANSITION:6
1) Pick the most appropriate ICD-10 code supported by clinical documentation.
2) Check payer policies to determine covered ICD-10 codes and prior authorization policies.
3) Identify the code-set being used on the CMS-1500 form by marking the space within Box 21 marked “ICD Ind”
form correctly:
• “9” for ICD-9-CM
• “0” for ICD-10-CM
WHAT RESOURCES ARE AVAILABLE TO SUPPORT MY TRANSITION?
Provider Resources on ICD-10
The Centers for Medicare & Medicaid Services (CMS) has released resources to help providers transition to ICD-10.
For overviews, implementation planning, crosswalks, videos, quick references, webcasts go to: www.cms.gov/ICD10/.
References: 1. Centers for Medicare & Medicaid Services. Statute and Regulations. http://www.cms.gov/Medicare/Coding/ICD10/Statute_Regulations.html. Accessed June 12, 2015.
2. Centers for Medicare & Medicaid Services. eHealth University. The ICD-10 Transition: An Introduction. http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10Introduction20140819.
pdf. Accessed June 12, 2015. 3. Centers for Medicare & Medicaid Services. Road to 10: The Small Physician Practice’s Route to ICD-10. http://www.roadto10.org/whatsdifferent/. Accessed June
12, 2015. 4. ICD9. chrisendres.com Website. http://icd9cm.chrisendres.com/index.php?srchtype=diseases&srchtext=systemic+lupus+&Submit=Search&action=search. Accessed June 12, 2015.
5. Centers for Medicare & Medicaid Services. ICD-10-CM Tabular List of Diseases and Injuries. http://www.cms.gov/Medicare/Coding/ICD10/Downloads/2015-tables-index.zip. Accessed June 12,
2015. 6. Centers for Medicare & Medicaid Services. Medicare Claims Processing Manual. Chapter 26 - Completing and Processing Form CMS-1500 Data Set. Rev. 3103, 11-03-14. http://www.
cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c26.pdf. Accessed June 12, 2015.
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All rights reserved. Printed in USA. 414204R0 June 2015