M36 ICD-10-CM Code: Systemic disorders of connective tissue in diseases classified elsewhere
HCC Buddy Code Card
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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 guidanceSystemic disorders of connective tissue in diseases classified elsewhere
Systemic disorders of connective tissue in diseases classified elsewhere
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-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
Includes
OfficialICD-10-CM does not list Includes notes for M36 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for M36 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for M36 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M36 in this effective period.
Code Also
OfficialICD-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.-)