M34.2

M34.2: Systemic sclerosis induced by drug and chemical

Billable / specific codeICD-10-CM

M34.2 is a billable, specific ICD-10-CM code for systemic sclerosis induced by drug and chemical. It is valid for submission on a claim.

Check M34.2 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes1 inherited from the categories above M34.2

A category’s note binds every code beneath it.

Written on M34: Systemic sclerosis [scleroderma]

circumscribed scleroderma (L94.0)
neonatal scleroderma (P83.88)

Other codes that can never be billed with M34.2

Their own Excludes1 notes name this code, so the conflict is not listed above.

L93Lupus erythematosus

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

M34.2 is named in 15 Medicare coverage policies: 8 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered