M35.04

M35.04: Sjogren syndrome with tubulo-interstitial nephropathy

Billable / specific codeICD-10-CM

M35.04 is a billable, specific ICD-10-CM code for sjogren syndrome with tubulo-interstitial nephropathy. It is valid for submission on a claim.

Check M35.04 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Renal tubular acidosis in sicca syndrome

Excludes1 inherited from the categories above M35.04

A category’s note binds every code beneath it.

Written on M35.0: Sjogren syndrome

dry mouth, unspecified (R68.2)

Written on M35: Other systemic involvement of connective tissue

reactive perforating collagenosis (L87.1)

Other codes that can never be billed with M35.04

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

N16Renal tubulo-interstitial disorders in diseases classified elsewhere

Risk adjustment

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

Medicare coverage

M35.04 is named in 13 Medicare coverage policies: 6 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

Nephritis, nephritic›tubulo-interstitial›Sjögren's syndrome
Pyelonephritis›in›Sjögren's disease
Syndrome›Sjögren›with›renal tubular acidosis
Syndrome›Sjögren›with›tubulo-interstitial nephropathy

Code history

Unchanged in every release from FY2024 to FY2027.