M35.0 ICD-10-CM Code: Sjögren syndrome
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M35.0 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- autoimmune disease NOS
- collagen (vascular) disease NOS
- systemic autoimmune disease
- systemic collagen (vascular) disease
Inclusion Terms
Alternative terms the tabular list files under this code.
- Sicca syndrome
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- dry mouth, unspecified (R68.2) Compare M35.0 vs R68.2 →
- reactive perforating collagenosis (L87.1) Compare M35.0 vs L87.1 →
- autoimmune disease, single organ or single cell-type -code to relevant condition category
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify associated manifestations
Frequently Compared Codes
The official Excludes notes on M35.0 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2022 — 2021-10-01Description revisedSicca syndrome [Sjogren] → Sjogren syndromeFY2022 changes
- FY2022 — 2021-10-01Short description revisedSicca syndrome [Sjogren] → Sjogren syndromeFY2022 changes
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of M35.0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99) [Hierarchy]
- M30-M36 — Systemic connective tissue disorders [Hierarchy]
Excludes1
- R68.2 — Dry mouth, unspecified [Excludes1]: “dry mouth, unspecified (R68.2)” · check together
Referenced by Excludes1 notes
- K11.8 — Other diseases of salivary glands [Excludes1]: “Sjögren syndrome (M35.0-)” · check together
- R68.2 — Dry mouth, unspecified [Excludes1]: “dry mouth due to Sjögren syndrome (M35.0-)” · check together
Referenced by Code Also instructions
- I27.21 — Secondary pulmonary arterial hypertension [Code Also]: “Sjögren syndrome (M35.0-)” · check together
Nearest codes (25)
- M35 — Other systemic involvement of connective tissue [Sibling]
- M35.00 — Sjögren syndrome, unspecified [Sibling]
- M35.01 — Sjögren syndrome with keratoconjunctivitis [Sibling]
- M35.02 — Sjögren syndrome with lung involvement [Sibling]
- M35.03 — Sjögren syndrome with myopathy [Sibling]
- M35.04 — Sjögren syndrome with tubulo-interstitial nephropathy [Sibling]
- M35.05 — Sjögren syndrome with inflammatory arthritis [Sibling]
- M35.06 — Sjögren syndrome with peripheral nervous system involvement [Sibling]
- and 17 more
Change history (2)
- FY2022 — Description revised [Change history]
- and 1 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name M35.0 or its code family.
2 Excludes1 notes across 2 chapters: K11.8, R68.2.
1 Code Also instructions: I27.21.
Frequently Asked Questions (FAQ) & Clinical Guidance
Can M35.0 be billed directly?
No. M35.0 (Sjögren syndrome) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M35.0 in its code family, with their registry titles.
- M35 — Other systemic involvement of connective tissue
- M35.00 — Sjögren syndrome, unspecified
- M35.01 — Sjögren syndrome with keratoconjunctivitis
- M35.02 — Sjögren syndrome with lung involvement
- M35.03 — Sjögren syndrome with myopathy
- M35.04 — Sjögren syndrome with tubulo-interstitial nephropathy
- M35.05 — Sjögren syndrome with inflammatory arthritis
- M35.06 — Sjögren syndrome with peripheral nervous system involvement
- M35.07 — Sjögren syndrome with central nervous system involvement
- M35.08 — Sjögren syndrome with gastrointestinal involvement