M35.01
M35.01: Sjogren syndrome with keratoconjunctivitis
Billable / specific codeICD-10-CM
M35.01 is a billable, specific ICD-10-CM code for sjogren syndrome with keratoconjunctivitis. It is valid for submission on a claim.
Check M35.01 with the rest of the claim: free scrubberOther codes that can never be billed with M35.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
- H16.22Keratoconjunctivitis sicca, not specified as Sjogren's
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M35.01 is named in 10 Medicare coverage policies: 3 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
Alphabetic index entries that lead here
- Syndrome›Sjögren›with›keratoconjunctivitis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M35.0
- M35.00Sjogren syndrome, unspecified
- M35.02Sjogren syndrome with lung involvement
- M35.03Sjogren syndrome with myopathy
- M35.04Sjogren syndrome with tubulo-interstitial nephropathy
- M35.05Sjogren syndrome with inflammatory arthritis
- M35.06Sjogren syndrome with peripheral nervous system involvement
- M35.07Sjogren syndrome with central nervous system involvement
- M35.08Sjogren syndrome with gastrointestinal involvement
- M35.0ASjogren syndrome with glomerular disease
- M35.0BSjogren syndrome with vasculitis
- M35.0CSjogren syndrome with dental involvement
- M35.09Sjogren syndrome with other organ involvement