M35.2

M35.2: Behcet's disease

Billable / specific codeICD-10-CM

M35.2 is a billable, specific ICD-10-CM code for behcet's disease. It is valid for submission on a claim.

Check M35.2 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above M35.2

A category’s note binds every code beneath it.

Written on M35: Other systemic involvement of connective tissue

reactive perforating collagenosis (L87.1)

Other codes that can never be billed with M35.2

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

M02Postinfective and reactive arthropathies

Risk adjustment

M35.2 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 94 Systemic Lupus Erythematosus and Other Specified Systemic Connective Tissue Disorders0.268 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

M35.2 is named in 12 Medicare coverage policies: 5 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

Behçet's disease or syndrome
Arthritis, arthritic›in›Behçet's syndrome
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›vagina›in Behçet's disease
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›vulva›in›Behçet's disease

Code history

Unchanged in every release from FY2024 to FY2027.