Lupus erythematosus L93- >

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7 )
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76 )
    • contact dermatitis (L23-L25 )
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as L93. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • lupus exedens (
    ICD-10-CM Diagnosis Code A18.4

    Tuberculosis of skin and subcutaneous tissue

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Erythema induratum, tuberculous
    • Lupus excedens
    • Lupus vulgaris NOS
    • Lupus vulgaris of eyelid
    • Scrofuloderma
    • Tuberculosis of external ear
    Type 2 Excludes
    A18.4
    )
  • lupus vulgaris (
    ICD-10-CM Diagnosis Code A18.4

    Tuberculosis of skin and subcutaneous tissue

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Erythema induratum, tuberculous
    • Lupus excedens
    • Lupus vulgaris NOS
    • Lupus vulgaris of eyelid
    • Scrofuloderma
    • Tuberculosis of external ear
    Type 2 Excludes
    A18.4
    )
  • scleroderma (
    ICD-10-CM Diagnosis Code M34
    • M34 Systemic sclerosis [scleroderma]
      • M34.0 Progressive systemic sclerosis
      • M34.1 CR(E)ST syndrome
      • M34.2 Systemic sclerosis induced by drug and chemic...
      • M34.8 Other forms of systemic sclerosis
        • M34.81 Systemic sclerosis with lung involvement
        • M34.82 Systemic sclerosis with myopathy
        • M34.83 Systemic sclerosis with polyneuropathy
        • M34.89 Other systemic sclerosis
      • M34.9 Systemic sclerosis, unspecified
    M34.-
    )
  • systemic lupus erythematosus (
    ICD-10-CM Diagnosis Code M32
    • M32 Systemic lupus erythematosus (SLE)
      • M32.0 Drug-induced systemic lupus erythematosus
      • M32.1 Systemic lupus erythematosus with organ or sy...
        • M32.10 Systemic lupus erythematosus, organ or system...
        • M32.11 Endocarditis in systemic lupus erythematosus
        • M32.12 Pericarditis in systemic lupus erythematosus
        • M32.13 Lung involvement in systemic lupus erythemato...
        • M32.14 Glomerular disease in systemic lupus erythema...
        • M32.15 Tubulo-interstitial nephropathy in systemic l...
        • M32.19 Other organ or system involvement in systemic...
      • M32.8 Other forms of systemic lupus erythematosus
      • M32.9 Systemic lupus erythematosus, unspecified
    M32.-
    )
Clinical Information
Codes