M35.4
M35.4: Diffuse (eosinophilic) fasciitis
Billable / specific codeICD-10-CM
M35.4 is a billable, specific ICD-10-CM code for diffuse (eosinophilic) fasciitis. It is valid for submission on a claim.
Check M35.4 with the rest of the claim: free scrubberOther codes that can never be billed with M35.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M72.8Other fibroblastic disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M35.4 is named in 19 Medicare coverage policies: 12 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
- Fasciitis›diffuse(eosinophilic)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M35
- M35.0Sjogren syndrome
- M35.1Other overlap syndromes
- M35.2Behcet's disease
- M35.3Polymyalgia rheumatica
- M35.5Multifocal fibrosclerosis
- M35.6Relapsing panniculitis [Weber-Christian]
- M35.7Hypermobility syndrome
- M35.8Other specified systemic involvement of connective tissue
- M35.9Systemic involvement of connective tissue, unspecified