M35.3 Polymyalgia rheumatica

Billable ICD-10-CM code, FY2026.

Excludes1 (never code together)

• polymyalgia rheumatica with giant cell arteritis (M31.5)

Applies from M35 Other systemic involvement of connective tissue

Excludes1 (never code together)

• reactive perforating collagenosis (L87.1)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
• ESRD V24: HCC 40

MS-DRG index

Defines the logic of DRG(s) 545-547 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 725 Polymyalgia rheumatica

Code annotations containing back-references to M35.3

Back-references to M35

• Type 2 Excludes: I77 Other disorders of arteries and arterioles ("collagen (vascular) diseases (M30-M36)")
• Type 2 Excludes: J82 Pulmonary eosinophilia, not elsewhere classified ("pulmonary eosinophilia due to systemic connective tissue disorders (M30-M36)")
• Code First: J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere ("systemic connective tissue disorders (M30-M36)")
• Type 1 Excludes: L94 Other localized connective tissue disorders ("systemic connective tissue disorders (M30-M36)")

Diagnosis Index entries for M35.3

• Disease, diseased › Forestier's (rhizomelic pseudopolyarthritis)
• Forestier's disease (rhizomelic pseudopolyarthritis)
• Polymyalgia
• Polymyalgia › rheumatica
• Pseudopolyarthritis, rhizomelic

Nearby codes

• M35.0B Sjogren syndrome with vasculitis
• M35.0C Sjogren syndrome with dental involvement
• M35.09 Sjogren syndrome with other organ involvement
• M35.1 Other overlap syndromes
• M35.2 Behcet's disease
• M35.3 Polymyalgia rheumatica (this code)
• M35.4 Diffuse (eosinophilic) fasciitis
• M35.5 Multifocal fibrosclerosis
• M35.6 Relapsing panniculitis [Weber-Christian]
• M35.7 Hypermobility syndrome
• M35.8 Other specified systemic involvement of connective tissue