October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

M36 Systemic disorders of connective tissue in diseases classified elsewhere

All 6 codes in the M36 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

6

Can lead a claim

0

Cannot lead a claim

6

What CMS assigns to M36

None of the 6 codes is assigned a clinical group. None of the 6 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to all 6.

Code first

CMS grouper convention 9, on M36.0. Code first:

  • neoplasm (C00-D49)

CMS grouper convention 119, on M36.1. Code first:

  • leukemia (C91-C95)
  • malignant histiocytosis (C96.A)
  • multiple myeloma (C90.0)
  • underlying neoplasm, such as:

CMS grouper convention 120, on M36.2. Code first:

  • factor IX deficiency (D67)
  • factor VIII deficiency (D66)
  • hemophilia (classical) (D66)
  • hemophilia B (D67)
  • hemophilia C (D68.1)
  • underlying disease, such as:
  • with vascular defect (D68.0-)

CMS grouper convention 121, on M36.3. Code first:

  • disease of blood and blood-forming organs, unspecified (D75.9)
  • other hemoglobinopathies (D58.2)
  • thalassemia (D56.-)
  • underlying disease, such as:

CMS grouper convention 122, on M36.4. Code first:

  • Henoch (-Schönlein) purpura (D69.0)
  • serum sickness (T80.6-)
  • underlying disease, such as:

CMS grouper convention 123, on M36.8. Code first:

  • alkaptonuria (E70.29)
  • hypogammaglobulinemia (D80.-)
  • ochronosis (E70.29)
  • underlying disease, such as:

Every code in M36

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M36.0Dermato(poly)myositis in neoplastic diseaseCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M36.1Arthropathy in neoplastic diseaseCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M36.2Hemophilic arthropathyCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M36.3Arthropathy in other blood disordersCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M36.4Arthropathy in hypersensitivity reactions classified elsewhereCMS: Arthropathy in hypersensitivity reactions classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M36.8Systemic disorders of connective tissue in other diseases classified elsewhereCMS: Systemic disord of conn tiss in oth diseases classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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