M04.1

Periodic fever syndromes

Billable / specificHCC V28 94

M04.1 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Familial Mediterranean fever
  • Hyperimmunoglobin D syndrome
  • Mevalonate kinase deficiency
  • Tumor necrosis factor receptor associated periodic syndrome [TRAPS]

Includes (from M04)

  • Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Excludes2

Not included here — may be reported together when both conditions exist.

  • arthropathic psoriasis (L40.5-) (from M04)
  • certain conditions originating in the perinatal period (P04-P96) (from M04)
  • certain infectious and parasitic diseases (A00-B99) (from M04)
  • compartment syndrome (traumatic) (T79.A-) (from M04)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M04)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M04)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from M04)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from M04)
  • neoplasms (C00-D49) (from M04)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M04)
  • Crohn's disease (K50.-) (from M04)

Also known as

  • Familial Mediterranean fever
  • Hyperimmunoglobin D syndrome
  • Mevalonate kinase deficiency
  • Tumor necrosis factor receptor associated periodic syndrome [TRAPS]
  • Arthritis, arthritic, in Mediterranean fever, familial
  • Deficiency, deficient, mevalonate kinase
  • Fever, Mediterranean, familial
  • Fever, periodic
  • Mediterranean, fever, familial
  • Syndrome, hyperimmunoglobulin D
  • Syndrome, periodic fever
  • Syndrome, tumor necrosis factor receptor associated periodic
  • TRAPS

Parent code

  • M04Autoinflammatory syndromesHeader

Related codes

  • M04.2Cryopyrin-associated periodic syndromesBillable
  • M04.3VEXAS syndromeBillable
  • M04.8Other autoinflammatory syndromesBillable
  • M04.9Autoinflammatory syndrome, unspecifiedBillable

Browse