M32.11 Endocarditis in systemic lupus erythematosus

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Libman-Sacks disease

Applies from M32 Systemic lupus erythematosus (SLE)

Excludes1 (never code together)

• lupus erythematosus (discoid) (NOS) (L93.0)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 94 — Systemic Lupus Erythematosus and Other Specified Systemic Connective Tissue Disorders
• CMS-HCC V22: HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
• RxHCC V08: HCC 84 — Systemic Lupus Erythematosus and Other Systemic Connective Tissue Disorders
• ESRD V24: HCC 40

MS-DRG index

Defines the logic of DRG(s) 545-547 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 424.91 Endocarditis in diseases classified elsewhere (approximate)
• 710.0 Systemic lupus erythematosus (approximate)

Code annotations containing back-references to M32.11

Back-references to M32.11

• Type 1 Excludes: I39 Endocarditis and heart valve disorders in diseases classified elsewhere ("Libman-Sacks disease (M32.11)")

Back-references to M32.1

• Code First: J84.178 Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere ("systemic lupus erythematosis (M32.0-M32.9)")

Back-references to M32

• Type 2 Excludes: A18.4 Tuberculosis of skin and subcutaneous tissue ("systemic lupus erythematosus (M32.-)")
• Code Also: D59.39 Other hemolytic-uremic syndrome ("systemic lupus erythematosus (M32.-)")
• Code First: F02 Dementia in other diseases classified elsewhere ("systemic lupus erythematosus (M32.-)")
• Code First: F06.7 Mild neurocognitive disorder due to known physiological condition ("systemic lupus erythematosus (M32.-)")
• Type 2 Excludes: I77 Other disorders of arteries and arterioles ("collagen (vascular) diseases (M30-M36)")
• Type 2 Excludes: J82 Pulmonary eosinophilia, not elsewhere classified ("pulmonary eosinophilia due to systemic connective tissue disorders (M30-M36)")
• Code First: J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere ("systemic connective tissue disorders (M30-M36)")
• Type 1 Excludes: L93 Lupus erythematosus ("systemic lupus erythematosus (M32.-)")
• Type 1 Excludes: L94 Other localized connective tissue disorders ("systemic connective tissue disorders (M30-M36)")

Diagnosis Index entries for M32.11

• Endocarditis (chronic) (marantic) (nonbacterial) (thrombotic) (valvular) › atypical verrucous (Libman-Sacks)
• Endocarditis (chronic) (marantic) (nonbacterial) (thrombotic) (valvular) › Libman-Sacks
• Endocarditis (chronic) (marantic) (nonbacterial) (thrombotic) (valvular) › verrucous (atypical) (nonbacterial) (nonrheumatic)
• Libman-Sacks disease
• Lupus › erythematosus (discoid) (local) › systemic › with organ or system involvement › endocarditis
• Sacks-Libman disease

Nearby codes

• M32 Systemic lupus erythematosus (SLE)
• M32.0 Drug-induced systemic lupus erythematosus
• M32.1 Systemic lupus erythematosus with organ or system involvement
• M32.10 Systemic lupus erythematosus, organ or system involvement unspecified
• M32.11 Endocarditis in systemic lupus erythematosus (this code)
• M32.12 Pericarditis in systemic lupus erythematosus
• M32.13 Lung involvement in systemic lupus erythematosus
• M32.14 Glomerular disease in systemic lupus erythematosus
• M32.15 Tubulo-interstitial nephropathy in systemic lupus erythematosus
• M32.19 Other organ or system involvement in systemic lupus erythematosus