M32.14
BillableGlomerular disease in systemic lupus erythematosus
HCC Category Mapping
V28HCC 94 — Reactive and Specified Arthropathies
0.000V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000RxHCCHCC 84 — Vasculitis and Other Autoimmune Disorders
0.000What This Code Means
Kidney inflammation and damage (glomerulonephritis) caused by systemic lupus erythematosus, affecting kidney function.
Coding Tips
- •Document the specific class of lupus nephritis (I-VI) if available from kidney biopsy or clinical assessment
- •This is a serious manifestation requiring close monitoring of kidney function and proteinuria
Clinical Significance
Lupus nephritis is one of the most serious complications of SLE, potentially leading to end-stage renal disease and significantly impacting patient survival. This diagnosis requires nephrology consultation, aggressive immunosuppressive therapy, and careful monitoring of kidney function.
Documentation Requirements
- ✓Confirmed systemic lupus erythematosus diagnosis
- ✓Evidence of glomerular disease (proteinuria, hematuria, decreased GFR)
- ✓Renal biopsy confirming lupus nephritis when available
- ✓Laboratory evidence of active SLE
- ✓Documentation of kidney function status
- ✓Classification of lupus nephritis class if known
- ✓Treatment plan including immunosuppression
- ✓Monitoring schedule for renal function
Commonly Confused Codes
Code Hierarchy
└M32Systemic lupus erythematosus (SLE)└M32.1Systemic lupus erythematosus with organ or system involvement└M32.14Glomerular disease in systemic lupus erythematosus
└M32.14Glomerular disease in systemic lupus erythematosus