ICD-10 M35.04
Billable / SpecificSjogren syndrome with tubulo-interstitial nephropathy
About ICD-10-CM M35.04
ICD-10-CM code M35.04 represents Sjogren syndrome with tubulo-interstitial nephropathy. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M35). The 2026 edition of ICD-10-CM M35.04 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under M35.04. Per CMS ICD-10-CM Tabular 2026.
- Renal tubular acidosis in sicca syndrome
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for M35.04
Local Coverage Determinations (LCDs) from CMS MACs that list M35.04 as a covered diagnosis.
Showing top 10 of 27 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M35.04.
5 Medicare
CPT Codes Commonly Billed with M35.04
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert M35.04 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M35.04 | 58381 | 10112 |
| M35.04 | 7102 | 10111 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M35.04
Other codes in section M30-M36 (Systemic connective tissue disorders).
ICD-10 M35.04, Billing FAQ
Is ICD-10 code M35.04 billable? +
Yes, M35.04 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to M35.04? +
ICD-10 M35.04 includes: Renal tubular acidosis in sicca syndrome.
What ICD-9 codes does M35.04 map to? +
Per CMS GEMs, M35.04 maps to ICD-9 codes: 58381, 7102. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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