M36
M36 — Systemic disorders of connective tissue in diseases classified elsewhere
Non-billable headerICD-10-CM
M36 is a non-billable header ICD-10-CM code for systemic disorders of connective tissue in diseases classified elsewhere. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- arthropathies in diseases classified elsewhere (M14.-)
Other codes that can never be billed with M36
These codes carry an Excludes1 note pointing at M36. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M36 alone.
Risk adjustment
M36 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M36
6 child codes. Green means billable.
- M36.0Dermato(poly)myositis in neoplastic disease
- M36.1Arthropathy in neoplastic disease
- M36.2Hemophilic arthropathy
- M36.3Arthropathy in other blood disorders
- M36.4Arthropathy in hypersensitivity reactions classified elsewhere
- M36.8Systemic disorders of connective tissue in other diseases classified elsewhere
Questions about M36
- Is M36 a billable ICD-10-CM code?
- No. M36 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M36 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Systemic connective tissue disorders (M30-M36).