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ICD-10-CM 2027

ICD-10 code for collagenosis

M35.9

Systemic involvement of connective tissue, unspecified

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Collagenosis, collagen disease (nonvascular) (vascular)”. Page updated September 29, 2026.

About coding collagenosis

The ICD-10-CM code for collagenosis is M35.9 (Systemic involvement of connective tissue, unspecified). The official index lists 3 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on M35.9.

Within M35, choose M35.9 (Systemic involvement of connective tissue, unspecified) only when documentation doesn't support a more specific option: Sjogren syndrome (M35.0), other overlap syndromes (M35.1), Behcet's disease (M35.2), polymyalgia rheumatica (M35.3), diffuse (eosinophilic) fasciitis (M35.4), multifocal fibrosclerosis (M35.5), relapsing panniculitis [Weber-Christian] (M35.6), hypermobility syndrome (M35.7) and 1 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 545 (Connective Tissue Disorders with MCC, relative weight 2.3892), DRG 546 (Connective Tissue Disorders with CC, relative weight 1.1745) and DRG 547 (Connective Tissue Disorders without CC/MCC, relative weight 0.7526), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific collagenosis codes (official index)

  • cardiovascular I42.89 — Other cardiomyopathies not elsewhere classified
  • reactive perforating L87.1 — Reactive perforating collagenosis
  • specified NEC M35.89 — Other specified systemic involvement of connective tissue

Common questions about collagenosis ICD-10 codes

What is the ICD-10 code for collagenosis?

M35.9 — Systemic involvement of connective tissue, unspecified. More specific codes apply when the documentation supports them: I42.89, L87.1, M35.89.

What is the ICD-10 code for cardiovascular collagenosis?

I42.89 — Other cardiomyopathies not elsewhere classified.

What is the ICD-10 code for reactive perforating collagenosis?

L87.1 — Reactive perforating collagenosis.

Is M35.9 billable?

Yes. M35.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can M35.9 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict M35.9 as a principal diagnosis.

Is M35.9 a CC or MCC?

No. M35.9 is neither a CC nor an MCC under MS-DRG v44.0.