M35.5
M35.5: Multifocal fibrosclerosis
Billable / specific codeICD-10-CM
M35.5 is a billable, specific ICD-10-CM code for multifocal fibrosclerosis. It is valid for submission on a claim.
Check M35.5 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M35.5 is named in 9 Medicare coverage policies: 2 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
- Fibrosclerosis›multifocal
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
- M35.4Diffuse (eosinophilic) fasciitis
- M35.6Relapsing panniculitis [Weber-Christian]
- M35.7Hypermobility syndrome
- M35.8Other specified systemic involvement of connective tissue
- M35.9Systemic involvement of connective tissue, unspecified