ICD-10-CM Tabular Index · Chapter 13 · FY 2026 M35

Other systemic involvement of connective tissue (M35) ICD-10-CM

The M35 code range covers other systemic involvement of connective tissue with 26 ICD-10-CM diagnosis codes. 23 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
26
Diagnosis Codes
23
Billable Codes
M35
Code Range
M30–M36
Parent Section

Type 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.

ICD-10-CM

Codes in the M35 Range 26 codes · 23 billable

26 of 26 shown
  • M35 Other systemic involvement of connective tissueNon-billable
  • M35.0 Sjogren syndromeNon-billable
  • M35.00 Sjogren syndrome, unspecified
  • M35.01 Sjogren syndrome with keratoconjunctivitis
  • M35.02 Sjogren syndrome with lung involvement
  • M35.03 Sjogren syndrome with myopathy
  • M35.04 Sjogren syndrome with tubulo-interstitial nephropathy
  • M35.05 Sjogren syndrome with inflammatory arthritis
  • M35.06 Sjogren syndrome with peripheral nervous system involvement
  • M35.07 Sjogren syndrome with central nervous system involvement
  • M35.08 Sjogren syndrome with gastrointestinal involvement
  • M35.09 Sjogren syndrome with other organ involvement
  • M35.0A Sjogren syndrome with glomerular disease
  • M35.0B Sjogren syndrome with vasculitis
  • M35.0C Sjogren syndrome with dental involvement
  • M35.1 Other overlap syndromes
  • M35.2 Behcet'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 tissueNon-billable
  • M35.81 Multisystem inflammatory syndrome
  • M35.89 Other specified systemic involvement of connective tissue
  • M35.9 Systemic involvement of connective tissue, unspecified

Clinical Terms in This Code Range

Definitions from the National Library of Medicine for conditions coded in the M35 range.

Dermatomyositis

A subacute or chronic inflammatory disease of muscle and skin, marked by proximal muscle weakness and a characteristic skin rash. The illness occurs with approximately equal frequency in children and adults. The skin lesions usually take the form of a purplish rash (or less often an exfoliative dermatitis) involving the nose, cheeks, forehead, upper trunk, and arms. The disease is associated with a complement mediated intramuscular microangiopathy, leading to loss of capillaries, muscle ischemia, muscle-fiber necrosis, and perifascicular atrophy. The childhood form of this disease tends to evolve into a systemic vasculitis. Dermatomyositis may occur in association with malignant neoplasms. (From Adams et al., Principles of Neurology, 6th ed, pp1405-6)

Giant Cell Arteritis

A systemic autoimmune disorder that typically affects medium and large ARTERIES, usually leading to occlusive granulomatous vasculitis with transmural infiltrate containing multinucleated GIANT CELLS. The TEMPORAL ARTERY is commonly involved. This disorder appears primarily in people over the age of 50. Symptoms include FEVER; FATIGUE; HEADACHE; visual impairment; pain in the jaw and tongue; and aggravation of pain by cold temperatures. (From Adams et al., Principles of Neurology, 6th ed)

Keratoconjunctivitis Sicca

Drying and inflammation of the conjunctiva as a result of insufficient lacrimal secretion. When found in association with XEROSTOMIA and polyarthritis, it is called SJOGREN'S SYNDROME.

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.

Polymyositis

Diseases characterized by inflammation involving multiple muscles. This may occur as an acute or chronic condition associated with medication toxicity (DRUG TOXICITY); CONNECTIVE TISSUE DISEASES; infections; malignant NEOPLASMS; and other disorders. The term polymyositis is frequently used to refer to a specific clinical entity characterized by subacute or slowly progressing symmetrical weakness primarily affecting the proximal limb and trunk muscles. The illness may occur at any age, but is most frequent in the fourth to sixth decade of life. Weakness of pharyngeal and laryngeal muscles, interstitial lung disease, and inflammation of the myocardium may also occur. Muscle biopsy reveals widespread destruction of segments of muscle fibers and an inflammatory cellular response. (Adams et al., Principles of Neurology, 6th ed, pp1404-9)

Systemic Inflammatory Response Syndrome

A systemic inflammatory response to a variety of clinical insults, characterized by two or more of the following conditions: (1) fever >38 degrees C or HYPOTHERMIA <36 degrees C; (2) TACHYCARDIA >90 beat/minute; (3) tachypnea >24 breaths/minute; (4) LEUKOCYTOSIS >12,000 cells/cubic mm or 10% immature forms. While usually related to infection, SIRS can also be associated with noninfectious insults such as TRAUMA; BURNS; or PANCREATITIS. If infection is involved, a patient with SIRS is said to have SEPSIS.

Xerostomia

Decreased salivary flow.

About the M35 Code Range

The ICD-10 codes in the M35 category cover various forms of systemic connective tissue involvement, including several manifestations of Sjogren syndrome and other related conditions. These codes are used to specify the particular type of connective tissue disorder and any associated organ system involvement.

Within the M35 range, Sjogren syndrome (codes M35.0 and subcategories) is detailed extensively, addressing complications such as dry eyes (keratoconjunctivitis), lung, muscle, kidney, nervous system, gastrointestinal, and other organ involvement. For example, the ICD-10 code for Sjogren syndrome with keratoconjunctivitis sicca, commonly known as dry eyes, is M35.01. Other codes like M35.1 cover overlap syndromes combining symptoms of multiple connective tissue diseases. Less common disorders such as Behcet's disease (M35.2), polymyalgia rheumatica (M35.3), and diffuse eosinophilic fasciitis (M35.4) are also included. This section helps medical coders accurately identify and classify complex autoimmune and connective tissue disorders by their specific presentations and systemic effects.

Questions About This Page

How many billable codes are in the M35 range?

Of the 26 codes in this range, 23 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.

What does the M35 range classify?

The range classifies other systemic involvement of connective tissue. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.

Related References

Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.