Valid for Submission
M35.3 is a billable diagnosis code used to specify a medical diagnosis of polymyalgia rheumatica. The code M35.3 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code M35.3 might also be used to specify conditions or terms like polymyalgia or polymyalgia rheumatica.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M35.3:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used 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 M31.5
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M35.3 are found in the index:
- - Pseudopolyarthritis, rhizomelic - M35.3
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Polymyalgia rheumatica
- POLYMYALGIA RHEUMATICA-. 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.
Diagnostic Related Groups - MS-DRG Mapping
Convert M35.3 to ICD-9 Code
Information for Patients
Polymyalgia rheumatica is a disorder that 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 is stiffness after resting. Other symptoms include fever, weakness and weight loss. In some cases, polymyalgia rheumatica develops overnight. In others, it is gradual.
The cause is not known. There is no single test to diagnose polymyalgia rheumatica. Your doctor will use your medical history, symptoms, and a physical exam to make the diagnosis. Lab tests for inflammation may help confirm the diagnosis.
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 prednisone, a steroid medicine, for both conditions. With treatment, polymyalgia rheumatica usually disappears in a day or two. Without treatment, it usually goes away after a year or more.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- ESR (Medical Encyclopedia)
- Polymyalgia rheumatica (Medical Encyclopedia)