M35.02 — Sjogren syndrome with lung involvement
M35.02 is a billable, specific ICD-10-CM code for sjogren syndrome with lung involvement. It is valid for submission on a claim.
Other codes that can never be billed with M35.02
These codes carry an Excludes1 note pointing at M35.02. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M35.02 alone.
- J99Respiratory disorders in diseases classified elsewhere
Risk adjustment
M35.02 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders0.319 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
M35.02 is named in 15 Medicare coverage policies — 9 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M35.02 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M35.02.
- Disease, diseased›lung›in›Sjögren's syndrome
- Syndrome›Sjögren›with›lung involvement
Related codes at this level
Codes that share M35.0. If M35.02 is not quite right, the correct code is usually one of these.
- M35.00Sjogren syndrome, unspecified
- M35.01Sjogren syndrome with keratoconjunctivitis
- 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
Questions about M35.02
- Is M35.02 a billable ICD-10-CM code?
- Yes. M35.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M35.02 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Systemic connective tissue disorders (M30-M36).