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ICD-10 Coding for Family History of Autoimmune Disease(Z83.2)

Complete ICD-10-CM coding and documentation guide for Family History of Autoimmune Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Genetic Predisposition to Autoimmune DisordersHereditary Autoimmune Conditions

Related ICD-10 Code Ranges

Complete code families applicable to Family History of Autoimmune Disease

Family history of certain conditions

This range includes codes for family history of various diseases, including autoimmune conditions.

Z83.2Primary Range

Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

This is the primary code for documenting family history of autoimmune diseases.

Key Information: ICD-10 code for family history of autoimmune disease

Essential facts and insights about Family History of Autoimmune Disease

The ICD-10 code for family history of autoimmune disease is Z83.2.

Primary ICD-10-CM Code for family history of autoimmune disease

Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Billable Code

Decision Criteria

documentation Criteria

  • Document specific autoimmune condition and relationship to the patient.

Applicable To

  • Family history of autoimmune diseases
  • Family history of blood disorders

Excludes

  • Personal history of autoimmune diseases (Z86.1)

Clinical Validation Requirements

  • Documented autoimmune disease in one or more first-degree relatives
  • Specific autoimmune condition and degree of relationship

Code-Specific Risks

  • Confusing personal and family history codes
  • Using for patient's own autoimmune conditions

Coding Notes

  • Ensure documentation specifies the exact autoimmune condition and the relationship to the patient.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Family history of hypertension

Z82.2
Use when documenting family history of hypertension alongside autoimmune conditions.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Personal history of autoimmune diseases

Z86.1
Use Z86.1 for patients with a personal history of autoimmune diseases, not family history.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Family History of Autoimmune Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z83.2.

Impact

Clinical: May lead to inappropriate clinical decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.

Mitigation Strategy

Train staff on specific documentation requirements., Use templates to ensure completeness.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Use Z86.1 for personal history of autoimmune diseases.

Impact

Insufficient detail in family history documentation can lead to audit issues.

Mitigation Strategy

Use detailed templates and specify conditions and relationships.

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 Family History of Autoimmune Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Family History of Autoimmune Disease

Use these documentation templates to ensure complete and accurate documentation for Family History of Autoimmune Disease. These templates include all required elements for proper coding and billing.

Documenting family history in rheumatology

Specialty: Rheumatology

Required Elements

  • Specific autoimmune condition
  • Degree of relationship
  • Year of diagnosis

Example Documentation

**Family History**: Mother: SLE (dx. 2002, renal involvement); Sister: Hashimoto’s thyroiditis (TPO Ab+); Paternal uncle: Ankylosing spondylitis (HLA-B27+)

Examples: Poor vs. Good Documentation

Poor Documentation Example
FHx autoimmune issues
Good Documentation Example
Maternal grandmother: RA (CCP 250 U); Father: Psoriasis with psoriatic arthritis (IL-17 inhibitor therapy)
Explanation
The good example specifies the exact conditions and relationships, improving clarity and compliance.

Need help with ICD-10 coding for Family History of Autoimmune Disease? Ask your questions below.

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