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M36 ICD-10-CM Code: Systemic disorders of connective tissue in diseases classified elsewhere

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

M36

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

Systemic disorders of connective tissue in diseases classified elsewhere

Systemic disorders of connective tissue in diseases classified elsewhere

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
M3Systemic connective tissue disorders (M30-M36)
M36Systemic disorders of connective tissue in diseases classified elsewhere

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M36 in this effective period.

Excludes 2

Official
  • arthropathies in diseases classified elsewhere (M14.-)

Related Child Codes

Official
M36.0Dermato(poly)myositis in neoplastic disease
M36.1Arthropathy in neoplastic disease
M36.2Hemophilic arthropathy
M36.3Arthropathy in other blood disorders
M36.4Arthropathy in hypersensitivity reactions classified elsewhere

Includes

Official

ICD-10-CM does not list Includes notes for M36 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M36 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M36 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M36 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M36 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

M36 is the ICD-10-CM diagnosis code for systemic disorders of connective tissue in diseases classified elsewhere. M36 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 M36 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 M36'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 M36 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • arthropathies in diseases classified elsewhere (M14.-)

Child Codes

Code Hierarchy

M36Systemic disorders of connective tissue in diseases classified elsewhere
M36Systemic disorders of connective tissue in diseases classified elsewhere

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