M36.8

M36.8: Systemic disorders of connective tissue in other diseases classified elsewhere

Billable / specific codeICD-10-CM

M36.8 is a billable, specific ICD-10-CM code for systemic disorders of connective tissue in other diseases classified elsewhere. It is valid for submission on a claim.

Check M36.8 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
alkaptonuria (E70.29)
hypogammaglobulinemia (D80.-)
ochronosis (E70.29)

Excludes2 inherited from the categories above M36.8

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.-)

Risk adjustment

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

Medicare coverage

M36.8 is named in 8 Medicare coverage policies: 1 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.