2020 ICD-10-CM Diagnosis Code M35.3

Polymyalgia rheumatica

    2016 2017 2018 2019 2020 Billable/Specific Code
  • M35.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM M35.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M35.3 - other international versions of ICD-10 M35.3 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M35.3. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • polymyalgia rheumatica with giant cell arteritis (
    ICD-10-CM Diagnosis Code M31.5

    Giant cell arteritis with polymyalgia rheumatica

      2016 2017 2018 2019 2020 Billable/Specific Code
    M31.5
    )
The following code(s) above M35.3 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 M35.3:
  • M00-M99
    2020 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
    2020 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 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • reactive perforating collagenosis (L87.1)
    Other systemic involvement of connective tissue
Clinical Information
  • A syndrome characterized by pain, stiffness, and tenderness of the proximal muscle groups including the shoulder, pelvic girdle and the neck. There is no muscle atrophy and muscle biopsies do not reveal pathologic changes. Additional signs and symptoms include low grade fever, fatigue and depression.
  • A syndrome in the elderly characterized by proximal joint and muscle pain, high erythrocyte sedimentation rate, and a self-limiting course. Pain is usually accompanied by evidence of an inflammatory reaction. Women are affected twice as commonly as men and caucasians more frequently than other groups. The condition is frequently associated with giant cell arteritis and some theories pose the possibility that the two diseases arise from a single etiology or even that they are the same entity.
  • Polymyalgia rheumatica causes muscle pain and stiffness in your neck, shoulders and hips. It is most common in women and almost always occurs in people over 50. The main symptom of polymyalgia rheumatica is stiffness after resting. Other symptoms include fever, weakness and weight loss. In some cases, polymyalgia rheumatica develops overnight. In others, it is gradual. Polymyalgia rheumatica sometimes occurs along with giant cell arteritis, a condition that causes swelling of the arteries in your head. Symptoms include headaches and blurred vision. Doctors often prescribe a medicine called prednisone for both conditions. Polymyalgia rheumatic usually responds to treatment. Without treatment, it usually goes away after a year or more. Untreated, giant cell arteritis carries a small risk of blindness or stroke. nih: national institute of arthritis and musculoskeletal and skin diseases
ICD-10-CM M35.3 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 545 Connective tissue disorders with mcc
  • 546 Connective tissue disorders with cc
  • 547 Connective tissue disorders without cc/mcc

Convert M35.3 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

Diagnosis Index entries containing back-references to M35.3:

ICD-10-CM Codes Adjacent To M35.3
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
M35.9 Systemic involvement of connective tissue, unspecified
M36 Systemic disorders of connective tissue in diseases classified elsewhere
M36.0 Dermato(poly)myositis in neoplastic disease
M36.1 Arthropathy in neoplastic disease
M36.2 Hemophilic arthropathy

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