Question 1

Is M04 a billable ICD-10 code?

Accepted Answer

No, M04 is not a billable code. It is a category code that requires additional specificity. You must select a more specific code from the subcategories for billing purposes.

Question 2

What does ICD-10 code M04 mean?

Accepted Answer

ICD-10-CM code M04 represents Autoinflammatory syndromes. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code M04 introduced?

Accepted Answer

Code M04 was added to ICD-10-CM in fiscal year 2017. ICD-10-CM codes are updated annually by the Centers for Medicare & Medicaid Services (CMS) to reflect advances in medical knowledge and clinical practice.

Question 4

What is the parent category for ICD-10 code M04?

Accepted Answer

The parent category for M04 is section:M04 (Autoinflammatory syndromes (M04)). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions should be coded separately from M04?

Accepted Answer

Code M04 has Type 2 Excludes including: Crohn's disease (K50.-). These conditions are not included in M04 but can be coded together if the patient has both conditions.

M042026

Excludes211Not included here

Notes1Additional information

Is M04 a billable ICD-10 code?

What does ICD-10 code M04 mean?

When was ICD-10 code M04 introduced?

What is the parent category for ICD-10 code M04?

What conditions should be coded separately from M04?