M35 Header — not billable

Other systemic involvement of connective tissue

Other systemic involvement of connective tissue

M35 is a header (parent) code in the ICD-10-CM hierarchy. It is not billable for claim submission. Use one of the billable child codes listed below.

Billable codes in this category

Each of the codes below is billable. Choose the one that most accurately describes the patient's diagnosis.

M35.1
Other overlap syndromes

M35.1 classifies other overlap syndromes, including mixed connective tissue disease (MCTD) — an autoimmune condition combining clinical features of systemic lupus erythematosus, systemic sclerosis, polymyositis, and Raynaud's phenomenon, typically confirmed by positive anti-U1 RNP antibodies.

M35.2
Behcet's disease

M35.2 captures a confirmed diagnosis of Behçet's disease, a rare systemic autoinflammatory vasculitis characterized by recurrent oral and genital ulcers, uveitis, and variable involvement of the joints, skin, nervous system, and gastrointestinal tract.

M35.3
Polymyalgia rheumatica

Polymyalgia rheumatica (PMR) — a systemic inflammatory syndrome of older adults producing proximal bilateral pain and stiffness in the shoulder and hip girdles, typically accompanied by elevated inflammatory markers.

M35.4
Diffuse (eosinophilic) fasciitis

M35.4 identifies diffuse (eosinophilic) fasciitis, a rare systemic fibrosing disorder characterized by inflammatory thickening of the deep fascia with associated peripheral eosinophilia, classified under other systemic involvement of connective tissue.

M35.5
Multifocal fibrosclerosis

M35.5 identifies multifocal fibrosclerosis — a rare systemic connective tissue disorder characterized by fibrotic proliferation at multiple anatomic sites simultaneously, classified under Other Systemic Involvement of Connective Tissue (M35).

M35.6
Relapsing panniculitis [Weber-Christian]

M35.6 classifies relapsing panniculitis of the Weber-Christian type — a systemic connective tissue disorder characterized by recurring episodes of inflammation in subcutaneous and, in some cases, visceral adipose tissue, presenting with painful nodules, erythema, fever, and myalgia.

M35.7
Hypermobility syndrome

M35.7 classifies hypermobility syndrome — a connective tissue condition characterized by excessive joint laxity beyond normal range, often associated with chronic pain, recurrent subluxations, and generalized ligamentous laxity including familial ligamentous laxity.

M35.9
Systemic involvement of connective tissue, unspecified

M35.9 captures systemic connective tissue involvement when the clinical picture does not meet criteria for — or cannot yet be differentiated into — a named disorder such as lupus, scleroderma, Sjögren syndrome, or mixed connective tissue disease. Applicable-To notes include 'Autoimmune disease (systemic) NOS' and 'Collagen (vascular) disease NOS.'

Inclusion & exclusion notes

Excludes 1 (mutually exclusive — never code together)

  • reactive perforating collagenosis (L87.1)

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