M35.3
Billable

Polymyalgia rheumatica

Billable / Specific Code

What is Polymyalgia rheumatica?

ICD-10-CM M35.3 is the diagnosis code for Polymyalgia rheumatica. This code falls under the section "Systemic connective tissue disorders" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â›” Excludes1

Coding Guidelines for M35.3

â›” Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M35.3. They are mutually exclusive:

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

ICD-10-CM Code Hierarchy

Understanding where M35.3 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is M35.3 a billable ICD-10-CM code?

Yes, M35.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does M35.3 mean?

M35.3 is the ICD-10-CM diagnosis code for "Polymyalgia rheumatica". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M35.3?

The parent code of M35.3 is M35 ("Other systemic involvement of connective tissue"). M35.3 provides a more specific classification within this category.

What section is M35.3 in?

M35.3 is located in Section M30-M36 — "Systemic connective tissue disorders" within Chapter 13 of the ICD-10-CM Tabular List.

When should I use M35.3?

Use M35.3 when the patients documented diagnosis matches "Polymyalgia rheumatica" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Polymyalgia rheumatica?

The ICD-10-CM code for Polymyalgia rheumatica is M35.3.

Can M35.3 be used for primary diagnosis?

Yes, M35.3 can be used as a primary diagnosis code since it is billable and specific.

What chapter is M35.3 in?

M35.3 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M35.3?

Type 1 Excludes for M35.3 include: polymyalgia rheumatica with giant cell arteritis (M31.5).

Is M35.3 valid for 2026?

Yes, M35.3 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM35.2Behçet's diseaseNext →M35.4Diffuse (eosinophilic) fasciitis
Code Details
M35.3
Polymyalgia rheumatica
Billable / Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M30-M36 — Systemic connective tissue disorders
2026 ICD-10-CM