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Home/Diagnosis/ICD-10 Coding for Sjögren's Syndrome

ICD-10 Coding for Sjögren's Syndrome

M35.00
M35.01
M35.0C

Complete ICD-10-CM coding and documentation guide for icd-10 coding for sjögren's syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Sicca Syndrome
Sjögren Syndrome
keratoconjunctivitis sicca
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Key Information: ICD-10 Coding for Sjögren's Syndrome

Essential facts and insights about ICD-10 Coding for Sjögren's Syndrome

Use ICD-10 code M35.00 for sjögren's syndrome, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sjögren's syndrome, unspecified

Billable Code
M35.00
Billable

Diagnostic Criteria

  • • Diagnosis of Sjögren's syndrome without specific organ involvement

Applicable To

  • • Sjögren's syndrome without specified organ involvement

Important Notes

  • • Ensure documentation specifies the absence of specific organ involvement to justify the use of this code.

Sjögren's syndrome with keratoconjunctivitis

Billable Code
M35.01
Billable

Diagnostic Criteria

  • • Positive Schirmer's test
  • • Documented keratoconjunctivitis sicca

Applicable To

  • • Sjögren's syndrome with dry eye symptoms

Important Notes

  • • Documentation must include specific tests confirming keratoconjunctivitis.

Sjögren's syndrome with dental involvement

Billable Code
M35.0C
Billable

Diagnostic Criteria

  • • Documented xerostomia
  • • Dental caries linked to Sjögren's syndrome

Applicable To

  • • Sjögren's syndrome with xerostomia and dental caries

Important Notes

  • • Documentation must specify dental involvement such as xerostomia and related dental issues.
Ancillary Codes

Additional codes that may be used with this diagnosis

K11.8

Other disorders of salivary glands

Use for xerostomia when documented alongside Sjögren's.

H16.22

Keratoconjunctivitis sicca, not specified as Sjögren's

Use for dry eye symptoms when documented alongside Sjögren's.

Frequently Asked Questions

How is Sjögren's syndrome coded in ICD-10?

Sjögren's syndrome is coded under the M35.0- series, with specific codes for different organ involvements, such as M35.01 for keratoconjunctivitis and M35.0C for dental involvement.

What documentation is required for Sjögren's syndrome coding?

Documentation should include specific organ involvement, lab results like SSA/SSB antibodies, and clinical tests such as Schirmer's test for accurate coding.

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