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ICD-10-CM 2027 diagnosis code

M34.81Systemic sclerosis with lung involvement

✓ Billable / specificCC — complication/comorbidity

M34.81 is a valid, billable ICD-10-CM code for systemic sclerosis with lung involvement. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About M34.81

M34.81 is the ICD-10-CM diagnosis code for systemic sclerosis with lung involvement. It belongs to category M34 (systemic sclerosis [scleroderma]), block M30-M36 (systemic connective tissue disorders) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within M34.8 (other forms of systemic sclerosis), M34.81 is specifically for systemic sclerosis with lung involvement. Related codes cover systemic sclerosis with myopathy (M34.82), systemic sclerosis with polyneuropathy (M34.83) and other systemic sclerosis (M34.89).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 196 (Interstitial Lung Disease with MCC, relative weight 1.8336), DRG 197 (Interstitial Lung Disease with CC, relative weight 0.9492) and DRG 198 (Interstitial Lung Disease without CC/MCC, relative weight 0.7259), in MDC 04 (Diseases and Disorders of the Respiratory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 517.2 (lung involvement in systemic sclerosis) and 710.1 (systemic sclerosis).

Coding notes

Code alsoTwo codes may be needed; sequencing depends on circumstances
  • if applicable:
  • other interstitial pulmonary diseases (J84.89)
  • secondary pulmonary arterial hypertension (I27.21)

Notes that apply from higher levels

Instructions written at a parent level also apply to M34.81.

› From M34 Systemic sclerosis [scleroderma]
Excludes1
  • circumscribed scleroderma (L94.0)
  • neonatal scleroderma (P83.88)

Broader instructions also apply from M30-M36 Systemic connective tissue disorders and Chapter 13: Diseases of the musculoskeletal system and connective tissue.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to M34.81.

Codes whose notes reference M34.81

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 517.2Lung involvement in systemic sclerosisapproximate, combination
  • 710.1Systemic sclerosisapproximate, combination

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about M34.81

Is M34.81 billable?

Yes. M34.81 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can M34.81 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict M34.81 as a principal diagnosis.

Is M34.81 a CC or MCC?

M34.81 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does M34.81 group to?

M34.81 is used in the MS-DRG v44.0 logic for MS-DRG 196 (Interstitial Lung Disease with MCC), MS-DRG 197 (Interstitial Lung Disease with CC) and MS-DRG 198 (Interstitial Lung Disease without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for M34.81?

The CMS General Equivalence Mappings map M34.81 to ICD-9-CM 517.2 and 710.1.