M04.3

VEXAS syndrome

Billable / specificNew in FY2027

M04.3 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

  • Vacuoles, E1 ubiquitin-activating enzyme, X-linked, autoinflammatory, somatic syndrome

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)

Code also

An additional code may be needed.

  • any associated conditions

Also known as

  • Vacuoles, E1 ubiquitin-activating enzyme, X-linked, autoinflammatory, somatic syndrome
  • Syndrome, vacuoles, E1 ubiquitin-activating enzyme, X-linked, autoinflammatory, somatic
  • Syndrome, VEXAS

Parent code

  • M04Autoinflammatory syndromesHeader

Related codes

  • M04.1Periodic fever syndromesBillable
  • M04.2Cryopyrin-associated periodic syndromesBillable
  • M04.8Other autoinflammatory syndromesBillable
  • M04.9Autoinflammatory syndrome, unspecifiedBillable

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