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Condition/Disorder Synonym

  • Lupus erythematosus

ICD-9-CM Codes

  • 695.4 Lupus erythematosus

  • PT diagnoses/treatment diagnoses that may be associated with immune disorders affecting movement

    • 315.4 Developmental coordination disorder

    • 718.07 Articular cartilage disorder, ankle and foot

    • 718.03 Articular cartilage disorder, forearm

    • 718.04 Articular cartilage disorder, hand

    • 718.45 Contracture of joint, pelvic region and thigh

    • 719.39 Palindromic rheumatism involving multiple sites

    • 719.4 Pain in joint

    • 719.70 Difficulty in walking involving joint site unspecified

    • 728.2 Muscular wasting and disuse atrophy, not elsewhere classified

    • 729.9 Other and unspecified disorders of soft tissue

    • 729.1 Myalgia and myositis, unspecified

    • 729.9 Other disorders of soft tissue

    • 736.9 Acquired deformity of limb site unspecified

    • 780.7 Malaise and fatigue

    • 781.2 Abnormality of gait

    • 782.3 Edema

    • 786.0 Dyspnea and respiratory abnormalities

    • 786.05 Shortness of breath

ICD-10-CM Codes

  • L93.0 Discoid lupus erythematosus

  • L93.2 Other local lupus erythematosus

Preferred Practice Patterns1

Key Features


  • A long term autoimmune disease that attacks the body's tissues and organ systems as if they were foreign substances

  • Affects skin, joints, kidneys, brain, and other organs

  • Although SLE is most common form, there are others: discoid or cutaneous lupus, drug-induced systemic lupus, neonatal lupus, and subacute cutaneous lupus

  • Onset often vague with misdiagnosis

Essentials of Diagnosis

  • Must be made by a physician and confirmed by medical diagnostic testing

  • According to the American College of Rheumatology (ACR)2 4 of 11 of the following must be present:

    • Malar rash: a rash over the cheeks and nose, often in the shape of a butterfly

    • Discoid rash: a rash that appears as red, raised, disk-shaped patches

    • Photosensitivity: a reaction to sun or light that causes a skin rash to appear or get worse

    • Oral ulcers: sores appearing in the mouth

    • Arthritis: joint pain and swelling of two or more joints in which the bones around the joints do not become destroyed

    • Serositis: inflammation of the lining around the lungs (pleuritis) or inflammation of the lining around the heart that causes chest pain, which is worse with deep breathing (pericarditis)

    • Kidney disorder: persistent protein or cellular casts in the urine

    • Neurological disorder: seizures or psychosis

    • Blood disorder: anemia (low red blood cell count), leukopenia (low white blood cell count), lymphopenia (low level of specific white blood cells), or thrombocytopenia (low platelet count)

    • Immunologic disorder: abnormal anti-double-stranded DNA or anti-Sm, positive antiphospholipid antibodies

    • Abnormal antinuclear antibody (ANA)

General Considerations

  • Diagnosis for more occult problems may take time and require intensive medical diagnostic testing

  • May result in secondary problems

    • Aerobic ...

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