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ICD-10-CM Codes
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M00-M99
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M30-M36
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M35-
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2023 ICD-10-CM Diagnosis Code M35.3
2023 ICD-10-CM Diagnosis Code M35.3
Polymyalgia rheumatica
2016 2017 2018 2019 2020 2021 2022 2023 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 2023 edition of ICD-10-CM M35.3 became effective on October 1, 2022.
- This is the American ICD-10-CM version of M35.3 - other international versions of ICD-10 M35.3 may differ.
Type 1 ExcludesType 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.
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
2023 ICD-10-CM Range M00-M99
Diseases of the musculoskeletal system and connective tissueNote- 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)
- M30-M36
2023 ICD-10-CM Range M30-M36
Systemic connective tissue disordersIncludes- 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
- M35
ICD-10-CM Diagnosis Code M35
Other systemic involvement of connective tissue
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Type 1 Excludes- reactive perforating collagenosis (L87.1)
- 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 v40.0):
- 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
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To M35.3
M35.05 …… with inflammatory arthritis
M35.06 …… with peripheral nervous system involvement
M35.07 …… with central nervous system involvement
M35.08 …… with gastrointestinal involvement
M35.0A …… with glomerular disease
M35.0C …… with dental involvement
M35.09 …… with other organ involvement
M35.1 Other overlap syndromes
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
M35.89 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
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
