M36.0
M36.0 — Dermato(poly)myositis in neoplastic disease
Billable / specific codeICD-10-CM
M36.0 is a billable, specific ICD-10-CM code for dermato(poly)myositis in neoplastic disease. It is valid for submission on a claim.
Risk adjustment
M36.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 93 Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders0.617 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.
Medicare coverage
M36.0 is named in 31 Medicare coverage policies — 25 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Related codes at this level
Codes that share M36. If M36.0 is not quite right, the correct code is usually one of these.
Questions about M36.0
- Is M36.0 a billable ICD-10-CM code?
- Yes. M36.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M36.0 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Systemic connective tissue disorders (M30-M36).