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M35.0 ICD-10-CM Code: Sjogren syndrome

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Systemic connective tissue disorders (M30-M36)

M35.0

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Sjogren syndrome

Sjogren syndrome

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
M35Other systemic involvement of connective tissue
M35.0Sjogren syndrome

Inclusion Terms

Official
  • Sicca syndrome

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M35.0 in this effective period.

Related Child Codes

Official
M35.00Sjogren syndrome, unspecified
M35.01Sjogren syndrome with keratoconjunctivitis
M35.02Sjogren syndrome with lung involvement
M35.03Sjogren syndrome with myopathy
M35.04Sjogren syndrome with tubulo-interstitial nephropathy

Includes

Official

ICD-10-CM does not list Includes notes for M35.0 in this effective period.

Excludes 1

Official
  • dry mouth, unspecified (R68.2)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M35.0 in this effective period.

Use Additional

Official
  • code to identify associated manifestations

Code Also

Official

ICD-10-CM does not list Code Also instructions for M35.0 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

M35.0 is the ICD-10-CM diagnosis code for sjogren syndrome. M35.0 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering systemic connective tissue disorders (m30-m36).

Header codes like M35.0 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M35.0's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M35.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • dry mouth, unspecified (R68.2)

Use Additional Code

  • code to identify associated manifestations

Child Codes

Code Hierarchy

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