M35
M35 — Other systemic involvement of connective tissue
Non-billable headerICD-10-CM
M35 is a non-billable header ICD-10-CM code for other systemic involvement of connective tissue. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- reactive perforating collagenosis (L87.1)
Other codes that can never be billed with M35
These codes carry an Excludes1 note pointing at M35. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M35 alone.
- L95Vasculitis limited to skin, not elsewhere classified
- M02Postinfective and reactive arthropathies
- M24.2Disorder of ligament
- M54.0Panniculitis affecting regions of neck and back
- M72.8Other fibroblastic disorders
- M79.3Panniculitis, unspecified
- N16Renal tubulo-interstitial disorders in diseases classified elsewhere
- R68.2Dry mouth, unspecified
Risk adjustment
M35 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M35
10 child codes. Green means billable.
- M35.0Sjogren syndrome
- M35.1Other overlap syndromes
- M35.2Behcet's disease
- M35.3Polymyalgia rheumatica
- M35.4Diffuse (eosinophilic) fasciitis
- M35.5Multifocal fibrosclerosis
- M35.6Relapsing panniculitis [Weber-Christian]
- M35.7Hypermobility syndrome
- M35.8Other specified systemic involvement of connective tissue
- M35.9Systemic involvement of connective tissue, unspecified
Questions about M35
- Is M35 a billable ICD-10-CM code?
- No. M35 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M35 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Systemic connective tissue disorders (M30-M36).
- What cannot be coded together with M35?
- M35 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.