2026 ICD-10-CM Diagnosis Code M36.1Arthropathy in neoplastic disease

ICD-10-CM CodesM00–M99M30-M36M36

ICD-10-CM M36.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M36.1 is a billable ICD-10-CM diagnosis code for arthropathy in neoplastic disease. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 553 through 554. The code is a manifestation code that cannot be reported as the principal diagnosis. Coders also document this condition as arthritis secondary to hematological malignancy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Conditions due to neoplasm or the treatment of neoplasm and Other specified joint disorders.

Code Identity

ICD-10-CM Code
M36.1
Billable Status
Yes — Valid for Submission
Code Describes
Arthropathy in neoplastic disease
Short Description
Arthropathy in neoplastic disease
Same as the full description in the CMS dataset.
Parent Code
Systemic disorders of connective tissue in diseases classified elsewhere

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM30-M36Systemic connective tissue disorders
CategoryM36Systemic disorders of connective tissue in diseases classified elsewhere
This CodeM36.1Arthropathy in neoplastic disease

Code EditsBilling

Medicare Code Editor checks that affect claim validity for M36.1.

Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Arthritis secondary to hematological malignancy
  • Arthritis secondary to malignancy
  • Arthritis secondary to non-hematological malignancy

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Code First

  • underlying neoplasm, such as:
  • leukemia C91 C95
  • malignant histiocytosis C96.A
  • multiple myeloma C90.0

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO074
Conditions due to neoplasm or the treatment of neoplasm
Default principal diagnosis: inpatient No · outpatient No
CCSR MUS007
Other specified joint disorders
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Joint Disorders

Your joints are places where two or more bones come together. Your shoulders, elbows, hips, knees, and knuckles are all joints. Your spine has joints, too.

The full article covers:

  • What are joints?
  • What are joint disorders?
  • What diseases can affect the joints?
  • What types of joint disorders happen from sudden injuries?
  • What types of joint disorders happen from overuse?
  • How can I keep my joints healthy?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M36.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
713.8 Arthrop w oth dis NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M36.1Overview

Is M36.1 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report arthropathy in neoplastic disease on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M36.1 group to?

On inpatient claims, arthropathy in neoplastic disease maps to MS-DRG 553, 554, with relative weights from 0.8301 to 1.2963 depending on complications. Higher weights mean higher Medicare reimbursement.

Can M36.1 be a principal diagnosis?

No. This is a manifestation code: arthropathy in neoplastic disease describes the manifestation of an underlying disease rather than the disease itself, so the underlying condition is sequenced first.

What is the ICD-9 equivalent of M36.1?

Under the General Equivalence Mappings, arthropathy in neoplastic disease converts to ICD-9-CM 713.8 (arthrop w oth dis NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.