ICD-10-CM Billable Code

M04.1

Periodic fever syndromes

Clinical Classification Guidelines

Inclusion Terms

  • Familial Mediterranean fever
  • Hyperimmunoglobin D syndrome
  • Mevalonate kinase deficiency
  • Tumor necrosis factor receptor associated periodic syndrome [TRAPS]

Medical Intelligence & Overview

Periodic fever syndromes are a group of rare disorders characterized by recurrent episodes of fever that occur without an obvious infection or other underlying disease. These syndromes can significantly impact quality of life and may involve other symptoms such as joint pain, skin rashes, or abdominal discomfort. The main types include familial Mediterranean fever, hyperimmunoglobulin D syndrome, mevalonate kinase deficiency, and tumor necrosis factor receptor-associated periodic syndrome (TRAPS).

Causes & Symptoms

Clinical Causes: T h e s e s y n d r o m e s a r e g e n e r a l l y c a u s e d b y g e n e t i c m u t a t i o n s t h a t a f f e c t t h e i m m u n e s y s t e m ' s r e g u l a t i o n , l e a d i n g t o i n f l a m m a t o r y e p i s o d e s . T h e s p e c i f i c g e n e t i c f a c t o r s v a r y a m o n g t h e d i f f e r e n t s y n d r o m e s :

Key Symptoms: T h e h a l l m a r k o f t h e s e s y n d r o m e s i s r e c u r r e n t e p i s o d e s o f f e v e r , o f t e n a c c o m p a n i e d b y o t h e r s i g n s , w h i c h c a n v a r y d e p e n d i n g o n t h e s p e c i f i c d i s o r d e r :

Diagnostic & Treatment

Diagnosis Path: Diagnosing periodic fever syndromes involves a combination of clinical evaluation and laboratory testing. Healthcare providers may:

Treatment Protocols: While there is no definitive cure for periodic fever syndromes, various treatments aim to reduce the frequency and severity of episodes and manage symptoms. Approaches include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M04.1 a billable ICD-10 code?
Yes, M04.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M04.1?
Clinical documentation must specify the nature of Periodic fever syndromes and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Related Diagnosis Codes

Clinical Meta Tags

periodic syndromes fever