2021 ICD-10-CM Diagnosis Code M35.04

Sicca syndrome with tubulo-interstitial nephropathy

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • M35.04 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM M35.04 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of M35.04 - other international versions of ICD-10 M35.04 may differ.
Applicable To
  • Renal tubular acidosis in sicca syndrome
The following code(s) above M35.04 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M35.04:
  • M00-M99
    2021 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M30-M36
    2021 ICD-10-CM Range M30-M36

    Systemic connective tissue disorders

    Includes
    • autoimmune disease NOS
    • collagen (vascular) disease NOS
    • systemic autoimmune disease
    • systemic collagen (vascular) disease
    Type 1 Excludes
    • autoimmune disease, single organ or single cell-type -code to relevant condition category
    Systemic connective tissue disorders
  • M35
    ICD-10-CM Diagnosis Code M35

    Other systemic involvement of connective tissue

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • reactive perforating collagenosis (L87.1)
    Other systemic involvement of connective tissue
Approximate Synonyms
  • Sjogrens syndrome w tubulointerstitial nephropathy
  • Sjogrens with tubulointerstitial nephropathy
  • Tubulointerstitial nephropathy due to sjogren syndrome
  • Tubulointerstitial nephropathy due to sjogren's syndrome
ICD-10-CM M35.04 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 545 Connective tissue disorders with mcc
  • 546 Connective tissue disorders with cc
  • 547 Connective tissue disorders without cc/mcc

Convert M35.04 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to M35.04:
  • Type 1 Excludes: N16
    ICD-10-CM Diagnosis Code N16

    Renal tubulo-interstitial disorders in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Manifestation Code
    Applicable To
    • Pyelonephritis
    • Tubulo-interstitial nephritis
    Code First
    Type 1 Excludes
    • diphtheritic pyelonephritis and tubulo-interstitial nephritis (A36.84)
    • pyelonephritis and tubulo-interstitial nephritis in candidiasis (B37.49)
    • pyelonephritis and tubulo-interstitial nephritis in cystinosis (E72.04)
    • pyelonephritis and tubulo-interstitial nephritis in salmonella infection (A02.25)
    • pyelonephritis and tubulo-interstitial nephritis in sarcoidosis (D86.84)
    • pyelonephritis and tubulo-interstitial nephritis in sicca syndrome [Sjogren's] (M35.04)
    • pyelonephritis and tubulo-interstitial nephritis in systemic lupus erythematosus (M32.15)
    • pyelonephritis and tubulo-interstitial nephritis in toxoplasmosis (B58.83)
    • renal tubular degeneration in diabetes (E08-E13 with .29)
    • syphilitic pyelonephritis and tubulo-interstitial nephritis (A52.75)

Diagnosis Index entries containing back-references to M35.04:
  • Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic) N05.9
    ICD-10-CM Diagnosis Code N05.9

    Unspecified nephritic syndrome with unspecified morphologic changes

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • tubulo-interstitial (in) N12
      ICD-10-CM Diagnosis Code N12

      Tubulo-interstitial nephritis, not specified as acute or chronic

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Interstitial nephritis NOS
      • Pyelitis NOS
      • Pyelonephritis NOS
      Type 1 Excludes
      • calculous pyelonephritis (N20.9)
      • Sjögren's syndrome M35.04
  • Pyelonephritis - see also Nephritis, tubulo-interstitial
    • in (due to)
      • Sjögren's disease M35.04
  • Sicca syndrome M35.00
    ICD-10-CM Diagnosis Code M35.00

    Sicca syndrome, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • with
      • renal tubulo-interstitial disorders M35.04

ICD-10-CM Codes Adjacent To M35.04
M34.82 Systemic sclerosis with myopathy
M34.83 Systemic sclerosis with polyneuropathy
M34.89 Other systemic sclerosis
M34.9 Systemic sclerosis, unspecified
M35 Other systemic involvement of connective tissue
M35.0 Sicca syndrome [Sjögren]
M35.00 Sicca syndrome, unspecified
M35.01 Sicca syndrome with keratoconjunctivitis
M35.02 Sicca syndrome with lung involvement
M35.03 Sicca syndrome with myopathy
M35.04 Sicca syndrome with tubulo-interstitial nephropathy
M35.09 Sicca syndrome with other organ involvement
M35.1 Other overlap syndromes
M35.2 Behçet's disease
M35.3 Polymyalgia rheumatica
M35.4 Diffuse (eosinophilic) fasciitis
M35.5 Multifocal fibrosclerosis
M35.6 Relapsing panniculitis [Weber-Christian]
M35.7 Hypermobility syndrome
M35.8 Other specified systemic involvement of connective tissue
M35.81 Multisystem inflammatory syndrome

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