M35.3

Polymyalgia rheumatica

Billable FY2026 2025-10-01 → 2026-09-30

Exclusions 13 never code together

M35code

Excludes1

Excludes1

Excludes1

autoimmune disease, single organ or single cell-type -code to relevant condition category

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

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

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

Instructional notes 5

Includes

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 4

Disease, diseased — see also Syndrome
- Forestier's (rhizomelic pseudopolyarthritis) M35.3
Forestier's disease (rhizomelic pseudopolyarthritis) M35.3
Polymyalgia M35.3
- rheumatica M35.3
Pseudopolyarthritis, rhizomelic M35.3

Alongside this code 9 same parent — M35

Additional references

AHA Coding Clinic® Licence required

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

CMS22HCC40 ESRD21HCC40 ESRD24HCC40

Presence is a property of the code. Untick a model to hide it everywhere.

Present FY2024–FY2027.