FY2016
Effective from
- First observed
Polymyalgia rheumatica
Billable diagnosis code
CDC/NCHS · FY2016polymyalgia rheumatica with giant cell arteritis (M31.5)
autoimmune disease, single organ or single cell-type -code to relevant condition category
reactive perforating collagenosis (L87.1)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗Grouping depends on the complete encounter and CMS grouper logic.
2026-04-01 – 2026-09-30
CMS · MS-DRG 43.1First observed · 2015-10-01
No recorded change since first observation
Effective from
Polymyalgia rheumatica
Billable diagnosis code
CDC/NCHS · FY2016| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
Historical mapping only; not an automatic code substitution.
polymyalgia rheumatica with giant cell arteritis (M31.5)
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
autoimmune disease, single organ or single cell-type -code to relevant condition category
reactive perforating collagenosis (L87.1)
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M35.0 | Sjogren syndrome | Category · further specificity required |
| M35.1 | Other overlap syndromes | Billable / specific |
| M35.2 | Behcet's disease | Billable / specific |
| M35.4 | Diffuse (eosinophilic) fasciitis | Billable / specific |
| M35.5 | Multifocal fibrosclerosis | Billable / specific |
| M35.6 | Relapsing panniculitis [Weber-Christian] | Billable / specific |
| M35.7 | Hypermobility syndrome | Billable / specific |
| M35.8 | Other specified systemic involvement of connective tissue | Category · further specificity required |
| M35.9 | Systemic involvement of connective tissue, unspecified | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗