M35.1

M35.1: Other overlap syndromes

Billable / specific codeICD-10-CM

M35.1 is a billable, specific ICD-10-CM code for other overlap syndromes. It is valid for submission on a claim.

Check M35.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

polyangiitis overlap syndrome (M30.8)

Inclusion terms

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

Mixed connective tissue disease

Excludes1 inherited from the categories above M35.1

A category’s note binds every code beneath it.

Written on M35: Other systemic involvement of connective tissue

reactive perforating collagenosis (L87.1)

Risk adjustment

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

Medicare coverage

M35.1 is named in 8 Medicare coverage policies: 1 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