M34.2

Billable

Systemic sclerosis induced by drug and chemical

HCC Category Mapping

V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.307

ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.000

RxHCCHCC 82 — Systemic Sclerosis (Scleroderma)

0.000

What This Code Means

Systemic sclerosis-like symptoms that develop as a side effect from exposure to certain medications or chemicals.

Coding Tips

•Always document the specific drug or chemical causing the condition in the medical record
•Use an external cause code to identify the triggering substance when applicable

Clinical Significance

Drug-induced systemic sclerosis represents a potentially reversible form when the causative agent is identified and discontinued. This diagnosis is crucial for preventing continued exposure and managing the inflammatory process while monitoring for resolution.

Documentation Requirements

✓Documentation of systemic sclerosis-like symptoms
✓Identification of specific drug or chemical causing the condition
✓Timeline showing relationship between exposure and symptom onset
✓Exclusion of idiopathic systemic sclerosis
✓Documentation of improvement after agent discontinuation
✓Laboratory studies supporting scleroderma-like syndrome
✓Treatment plan including avoidance of causative agent
✓Monitoring plan for resolution or progression

Use Additional Code

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Code First

poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Commonly Confused Codes

M34.0 — Use for idiopathic progressive systemic sclerosis M34.9 — Use for idiopathic unspecified systemic sclerosis L94.0 — Use for localized drug-induced skin changes only T88.7 — Use for unspecified adverse drug reaction