icd 9 code for undifferentiated connective tissue disease

by Ruth McDermott PhD 7 min read

ICD-9-CM Diagnosis Code 710.9 : Unspecified diffuse connective tissue disease.

How is MCTD diagnosed?

The diagnostic process may include the following:

  • A health care professional will conduct a physical exam to check for swollen, painful hands and joints.
  • A detailed health history will be obtained. ...
  • If MCTD is suspected, a blood test will be ordered to check for inflammatory markers and certain antibodies, such as anti-RNP. ...

What is MCTD disease?

Mixed connective tissue disease (MTCD) is an uncommon systemic inflammatory rheumatic disease. MCTD is a specific subset of the broader category of rheumatic “overlap syndromes”, a term used to describe when a patient has features of more than one classic inflammatory rheumatic disease.

What is the treatment for connective tissue disease?

What Is The Treatment For Connective Tissue Disease?

  • Autoimmune Connective Tissue Disease
  • Inherited Connective Tissue Disease
  • Autoimmune Connective Tissue Diseases. There is no cure for autoimmune connective tissue diseases, treatment is directed towards symptomatic management and in treating flare ups.
  • Inherited Connective Tissue Diseases. ...

What are the different types of connective tissue diseases?

What are the different types of connective tissue diseases?

  • Rheumatoid Arthritis (RA)
  • Systemic lupus Erythematosus
  • Systemic Sclerosis (Scleroderma)
  • Polymyositis/Dermatomyositis
  • Granulomatosis with polyangiitis (GPA)
  • Mixed connective tissue disease (MCTD), ( also called Sharp syndrome)
  • The bottom line

What is the ICD 10 code for undifferentiated connective tissue disease?

M35. 9 - Systemic involvement of connective tissue, unspecified | ICD-10-CM.

What is the ICD 10 code for connective tissue?

ICD-10 code M35. 9 for Systemic involvement of connective tissue, unspecified is a medical classification as listed by WHO under the range - Diseases of the musculoskeletal system and connective tissue .

In which ICD-10 chapter would you find systemic connective tissue disorders?

Exploring ICD-10-CM's Chapter 13: Diseases of the Musculoskeletal System & Connective Tissue.

What is diagnosis code M35 9?

9: Systemic involvement of connective tissue, unspecified.

What is undifferentiated connective tissue disease?

Undifferentiated connective tissue disease (UCTD) is a term suggested by LeRoy 30 years ago to denote autoimmune disease that does not meet criteria for established illnesses such as systemic lupus erythematosus, scleroderma, dermatomyositis, Sjogren's syndrome, vasculitis, or rheumatoid arthritis.

What is undifferentiated tissue?

The term "undifferentiated connective tissue disease" (UCTD) is used to describe a condition in people who have symptoms and lab test results which suggest a a systemic autoimmune disorder or connective tissue disease but which are not extensive or specific enough to meet usual criteria for a diagnosis of a defined ...

What is connective tissue disease?

A connective tissue disease is any disease that affects the parts of the body that connect the structures of the body together. Connective tissues are made up of two proteins: collagen and elastin. Collagen is a protein found in the tendons, ligaments, skin, cornea, cartilage, bone and blood vessels.

Which ICD contains a chapter on diseases of the musculoskeletal system and connective tissue?

ICD-10 Chapter XIII: Diseases of the musculoskeletal system and connective tissue. ICD-10 is an international statistical classification used in health care and related industries.

What are diseases of the musculoskeletal system and connective tissue?

People with MCTD have some features characteristic of several diseases, including lupus, scleroderma, polymyositis or dermatomyositis, and rheumatoid arthritis. When this occurs, doctors often make the diagnosis of mixed connective tissue disease.

What is systemic involvement of connective tissue?

What is systemic connective tissue disease? Connective tissues disease refers to many disorders of the connective tissues that make up organs, including joints, muscle, skin, eyes, heart, lungs, and blood vessels. These may include mixed connective tissue disease, overlap syndrome, and fibromyalgia.

What is the ICD 10 code for inflammatory Polyarthropathy?

4.

What causes inflammation of connective tissue?

Connective tissue diseases characterized by inflammation of tissues are caused by antibodies (called autoantibodies) that the body incorrectly makes against its own tissues. These conditions are called autoimmune diseases.

What is connective tissue disease?

A connective tissue disease is any disease that affects the parts of the body that connect the structures of the body together. Connective tissues are made up of two proteins: collagen and elastin. Collagen is a protein found in the tendons, ligaments, skin, cornea, cartilage, bone and blood vessels.

What is diffuse connective tissue disease?

The diffuse connective tissue diseases constitute a group of inflammatory diseases with the potential of involvement of many organ systems. The etiopathogenesis is thought to be multifactorial, involving the interaction between particular genetic background and exogenous agents.

What causes inflammation of connective tissue?

Connective tissue diseases characterized by inflammation of tissues are caused by antibodies (called autoantibodies) that the body incorrectly makes against its own tissues. These conditions are called autoimmune diseases.

Is there a blood test for connective tissue disease?

Blood tests are done to detect levels of antinuclear antibodies (ANA) and an antibody to ribonucleoprotein (RNP), which are present in most people who have mixed connective tissue disease.

Terminology

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The term \"undifferentiated connective tissue disease\" (UCTD) is used to describe a condition in people who have symptoms and lab test results that indicate a systemic autoimmune disorder or connective tissue disease, but which do not meet enough such characteristics to indicate a diagnosis for a well-defined connective …
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Definition

  • Although the word \"undifferentiated\" sounds vague, it describes a real problem. It does not mean that a doctor does not know what to call the condition, it just means that all or most of the clinical features (problems) traditionally seen in lupus or another connective tissue disease aren't present but some of those features are present. This undifferentiated category is distinctly sepa…
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Diagnosis

  • In contrast, patients with UCTD do not have enough of the features of a definite CTD (systemic lupus, systemic sclerosis, or dermatomyositis/polymyositis) to be firmly classified with such a diagnosis. However, because they may have a few features from several known diseases, they are said to be \"undifferentiated.\" (See Fig. 1) \"Criteria\" are the list of problems that a doctor look…
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Research

  • Many researchers have been studying people with UCTD to identify serologic profiles (markers in the blood) that may predict who will eventually develop a well-defined connective tissue disease. They are also looking for markers to help predict whether the disease may go away, remain unchanged or get worse. It is currently believed that less than 20% of patients with UCTD go on t…
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Cause

  • Pathogenesis refers to the origin and development of a disease. The actual cause of UCTD, like many rheumatic diseases, is not well understood. Indeed, there have been no rigorous attempts to define the basic science of UCTD. It is presumed that many of the same immunologic mechanisms that play a role in lupus and rheumatoid arthritis may be involved. One theory is tha…
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Prognosis

  • The overwhelming majority of people with UCTD do not develop major organ damage or a life-threatening disease. The hallmark of UCTD is its mild course and low likelihood of progression to a more serious state. A study conducted more recently on 94 patients found that arthritis, Raynaud's phenomenon and the presence of photosensitivity were predictors for the developme…
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Epidemiology

  • In a study of 148 patients who had detectable anti-Ro/SSA antibodies and a diagnosis of UCTD for at least one year, leukopenia was more frequent in those patients who ultimately developed a defined connective tissue disease. Anti-dsDNA antibodies were predictive of evolution to SLE (lupus). However, the majority of patients in this study who developed a connective tissue disea…
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Uses

  • Other well-defined connective tissue diseases that need to be considered in the process of differential diagnosis include: rheumatoid arthritis, systemic lupus erythematosus (lupus), myositis, Sjogren's syndrome, and scleroderma. Diffuse body pain without other objective features, even in the presence of a positive ANA, is more strongly evidence of fibromyalgia than …
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Treatment

  • No formal study of various treatments in patients with UCTD has been conducted. Most therapies used are ones physicians have found to be effective in other connective tissue diseases. However, it is unknown to what degree a particular therapy improves the symptoms of UCTD or decreases the rate of flare or the likelihood of evolution to a more defined connective tissue disease. For sy…
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Side effects

  • One study of 25 pregnancies in 20 patients with the diagnosis of UCTD for at least one year showed 22 pregnancies were successfully brought to term. Complications were observed in 6 out of 22 of the successful pregnancies, but these complications were mostly restricted to early deliveries and lower birth weights. Some systemic autoimmune diseases tend to have alternatin…
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Contraindications

  • Mosca M, Neri R, Strigini F, Carmignani A, Totti D, Tavoni A, and Bombardieri S. Pregnancy outcome in patients with undifferentiated connective tissue disease: a preliminary study on 25 pregnancies. Lupus 2002;11(5):304-7. This important study finds UCTD patients are at higher risk of pregnancy complications and argues for careful monitoring of these patients during pregnancy.
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Evolution

  • This includes data on patients with UCTD followed over 10 years (the longest documented study) and makes the important observation that even with disease this far out, many patients still have not evolved into a more defined CTD.
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