M35.0A

Billable

Sjögren syndrome with glomerular disease

HCC Category Mapping

V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.307

ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.000

RxHCCHCC 84 — Vasculitis and Other Autoimmune Disorders

0.000

What This Code Means

Sjögren syndrome is an autoimmune disease affecting moisture-producing glands, and this code indicates the condition has also affected the kidneys causing glomerular disease (inflammation of kidney filtering units).

Coding Tips

•This is a combination code capturing both Sjögren syndrome and its renal manifestation; do not code kidney disease separately
•Verify documentation confirms both the Sjögren diagnosis and glomerular involvement before assigning this code

Clinical Significance

Sjögren syndrome with glomerular disease represents severe renal involvement affecting the kidney's filtering units, indicating advanced systemic autoimmune disease. This manifestation requires immediate nephrology consultation and may progress to chronic kidney disease without proper management.

Documentation Requirements

✓Confirmed diagnosis of Sjögren syndrome
✓Evidence of glomerular involvement (proteinuria, hematuria)
✓Renal biopsy showing glomerular pathology if performed
✓Decreased glomerular filtration rate if present
✓Urinalysis showing glomerular disease pattern
✓Nephrology consultation and management plan
✓Exclusion of other causes of glomerular disease

Commonly Confused Codes

M35.04 — Sjögren syndrome with tubulo-interstitial nephropathy (different type of renal involvement)M35.00 — Sjögren syndrome unspecified (use when renal involvement not documented)N05.9 — Unspecified nephritic syndrome (use when not Sjögren-related)N18.6 — End stage renal disease (use for advanced kidney failure)

Code Hierarchy

└M35Other systemic involvement of connective tissue └M35.0Sjögren syndrome └M35.0ASjögren syndrome with glomerular disease

└M35.0ASjögren syndrome with glomerular disease