M35.04 Sjögren syndrome with tubulo-interstitial nephropathy

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Sjögren syndrome with tubulo-interstitial nephropathy is M35.04 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
M30-M36: Systemic connective tissue disorders (M30-M36)
Category M35
26 codes (23 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to M35.04:

  • Pyelonephritis › in (due to) › Sjögren's disease
  • Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic) › tubulo-interstitial (in) › Sjögren's syndrome
  • Syndrome › Sjögren › with › renal tubular acidosis
  • Syndrome › Sjögren › with › tubulo-interstitial nephropathy

Inclusion Terms

  • Renal tubular acidosis in sicca syndrome

U.S. Hospital Utilization

  • An estimated 120 U.S. inpatient stays in 2023 included M35.04 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Osteoporosis without pathological fracture (M81)

Category M81, Osteoporosis without current pathological fracture, is for use for patients with osteoporosis who do not currently have a pathologic fracture due to the osteoporosis, even if they have had a fracture in the past. For patients with a history of osteoporosis fractures, status code Z87.310, Personal history of (healed) osteoporosis fracture, should follow the code from M81.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.1
Osteoporosis with current pathological fracture (M80)

Category M80, Osteoporosis with current pathological fracture, is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.2

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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