M34.83

Billable

Systemic sclerosis with polyneuropathy

HCC Category Mapping

V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.175

What This Code Means

Systemic sclerosis with nerve damage affecting multiple nerves, causing weakness, numbness, or pain in the extremities.

Coding Tips

•Document which nerves or areas are affected and the type of neuropathy present
•Consider additional codes for specific symptoms like pain or numbness if clinically significant

Clinical Significance

Systemic sclerosis with polyneuropathy involves scleroderma complicated by peripheral nerve dysfunction, affecting sensation and motor function. This combination requires comprehensive neurologic assessment and coordinated treatment addressing both autoimmune and neurologic components.

Documentation Requirements

✓Clinical evidence of systemic sclerosis
✓Documentation of peripheral neuropathy
✓Nerve conduction studies or EMG findings
✓Assessment of sensory and motor deficits
✓Distribution pattern of neuropathy
✓Functional impact assessment
✓Treatment response monitoring
✓Coordination with neurology services

Commonly Confused Codes

Using general systemic sclerosis codes when neuropathy is present Confusing with diabetic or other metabolic neuropathies Missing the peripheral nerve involvement Using isolated neuropathy codes Inadequate documentation of nerve dysfunction

Code Hierarchy

└M34Systemic sclerosis [scleroderma]└M34.8Other forms of systemic sclerosis └M34.83Systemic sclerosis with polyneuropathy

└M34.83Systemic sclerosis with polyneuropathy