M30.3 — Mucocutaneous lymph node syndrome [Kawasaki]
M30.3 is a billable, specific ICD-10-CM code for mucocutaneous lymph node syndrome [kawasaki]. It is valid for submission on a claim.
Risk adjustment
M30.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 93 Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders0.617 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
M30.3 is named in 20 Medicare coverage policies — 14 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 M30.3 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 M30.3.
- Kawasaki's syndrome
- Syndrome›mucocutaneous lymph node(acute febrile) (MCLS)
Related codes at this level
Codes that share M30. If M30.3 is not quite right, the correct code is usually one of these.
Questions about M30.3
- Is M30.3 a billable ICD-10-CM code?
- Yes. M30.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M30.3 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Systemic connective tissue disorders (M30-M36).