M32.11 — Endocarditis in systemic lupus erythematosus
M32.11 is a billable, specific ICD-10-CM code for endocarditis in systemic lupus erythematosus. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Libman-Sacks disease
Other codes that can never be billed with M32.11
These codes carry an Excludes1 note pointing at M32.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M32.11 alone.
- I39Endocarditis and heart valve disorders in diseases classified elsewhere
Risk adjustment
M32.11 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 94 Systemic Lupus Erythematosus and Other Specified Systemic Connective Tissue Disorders0.268 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
M32.11 is named in 47 Medicare coverage policies — 41 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M32.11 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M32.11.
- Libman-Sacks disease
- Sacks-Libman disease
- Endocarditis›atypical verrucous(Libman-Sacks)
- Endocarditis›Libman-Sacks
- Endocarditis›verrucous(atypical) (nonbacterial) (nonrheumatic)
- Lupus›erythematosus›systemic›with organ or system involvement›endocarditis
Related codes at this level
Codes that share M32.1. If M32.11 is not quite right, the correct code is usually one of these.
- M32.10Systemic lupus erythematosus, organ or system involvement unspecified
- M32.12Pericarditis in systemic lupus erythematosus
- M32.13Lung involvement in systemic lupus erythematosus
- M32.14Glomerular disease in systemic lupus erythematosus
- M32.15Tubulo-interstitial nephropathy in systemic lupus erythematosus
- M32.19Other organ or system involvement in systemic lupus erythematosus
Questions about M32.11
- Is M32.11 a billable ICD-10-CM code?
- Yes. M32.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M32.11 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Systemic connective tissue disorders (M30-M36).