M36.3

M36.3: Arthropathy in other blood disorders

Billable / specific codeICD-10-CM

M36.3 is a billable, specific ICD-10-CM code for arthropathy in other blood disorders. It is valid for submission on a claim.

Check M36.3 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
disease of blood and blood-forming organs, unspecified (D75.9)
other hemoglobinopathies (D58.2)
thalassemia (D56.-)

Excludes2 inherited from the categories above M36.3

Not part of this code, but both may be coded when both are present.

Written on M36: Systemic disorders of connective tissue in diseases classified elsewhere

arthropathies in diseases classified elsewhere (M14.-)

Other codes that can never be billed with M36.3

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

M14Arthropathies in other diseases classified elsewhere

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

M36.3 is named in 7 Medicare coverage policies: 0 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

Code history

Unchanged in every release from FY2024 to FY2027.