M36.1

Arthropathy in neoplastic disease

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M30–M36 Systemic connective tissue disorders

BillableComplete code, valid to report

M36.1 (also written M361) is a billable ICD-10-CM diagnosis code for arthropathy in neoplastic disease. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 6 codes in category M36 (Systemic disorders of connective tissue in diseases classified elsewhere). The Alphabetic Index lists it under 7 entries. Its coding notes include a Code first instruction, 1 Excludes1 entry and 11 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

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

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Also from chapter/block level (1 note)
Inherited from M30–M36 Systemic connective tissue disorders
  • autoimmune disease, single organ or single cell-type -code to relevant condition category

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from M36 Systemic disorders of connective tissue in diseases classified elsewhere
  • arthropathies in diseases classified elsewhere (M14.-)
Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospice: not accepted as primary

Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Manifestation code. Report the underlying condition first (see the Code first note).

Source: CMS Integrated Outpatient Code Editor (IOCE) v27.3, effective October 1, 2026, edit 86

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (4 notes)
Inherited from M30–M36 Systemic connective tissue disorders
  • autoimmune disease NOS
  • collagen (vascular) disease NOS
  • systemic autoimmune disease
  • systemic collagen (vascular) disease

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 7 entries