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M04.2

Cryopyrin-associated periodic syndromes

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 11 never code together
M04code
Excludes2
  • Crohn's disease (K50.-)K50.-
M00-M99chapter
Excludes2
  • arthropathic psoriasis (L40.5-)L40.5-
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • compartment syndrome (traumatic) (T79.A-)T79.A-
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 7
M04.2code
Inclusion terms
  • Chronic infantile neurological, cutaneous and articular syndrome [CINCA]
  • Familial cold autoinflammatory syndrome
  • Familial cold urticaria
  • Muckle-Wells syndrome
  • Neonatal onset multisystemic inflammatory disorder [NOMID]
M00-M25block
Includes
  • Disorders affecting predominantly peripheral (limb) joints
M00-M99chapter
Notes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Index entries leading here 5
  • Syndrome — see also Disease
    • chronic
      • infantile neurological, cutaneous and articular (CINCA) M04.2
    • cryopyrin-associated periodic M04.2
    • familial cold autoinflammatory M04.2
    • Muckle-Wells M04.2
  • CINCA (chronic infantile neurological, cutaneous and articular syndrome) M04.2
  • Disorder (of) — see also Disease
    • neonatal onset multisystemic inflammatory (NOMID) M04.2
  • Urticaria L50.9
  • NOMID (neonatal onset multisystemic inflammatory disorder) M04.2
Alongside this code 3 same parent — M04
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC40 CMS28HCC94 ESRD21HCC40 ESRD24HCC40 RX08HCC83

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This code

Billable
yes
Code set
FY2026
Parent
M04
Block
M00-M25
Siblings
3

Present FY2024–FY2027.