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2025 ICD-10-CM code M35.0

Sjögren's syndrome (Sicca syndrome)

Use additional codes to identify associated manifestations. If the patient has another autoimmune disease, such as rheumatoid arthritis or lupus, that triggered Sjögren's syndrome, code the underlying disease first.

Medical necessity for treating Sjögren's syndrome is established by the presence of symptoms and their impact on the patient's quality of life. Treatment aims to alleviate symptoms, prevent complications (such as infections and dental problems), and improve overall well-being.

Physicians diagnose Sjögren's syndrome based on a combination of factors: medical history, physical examination (checking for dry mouth and other signs), eye tests (tear production and damage assessment), salivary gland tests (saliva production measurement, imaging, and possible biopsy), and blood tests. Treatment focuses on managing symptoms and may include artificial tears, saliva substitutes, medication to stimulate saliva production, and anti-inflammatory drugs for joint pain.

IMPORTANT Use additional codes to identify associated manifestations. Excludes dry mouth, unspecified (R68.2).

In simple words: Sjögren's syndrome is a condition where your body's defense system mistakenly attacks the glands that make tears and saliva. This causes dryness in your eyes, mouth, and other areas. You might also experience joint pain, tiredness, and other symptoms.

Sjögren's syndrome, also known as Sicca syndrome, is a chronic autoimmune disease characterized by the immune system attacking the glands that produce moisture in the eyes, mouth, and other parts of the body. This leads to dryness in these areas, as well as other potential symptoms like joint pain, muscle pain, fatigue, and swollen lymph nodes.

Example 1: A 45-year-old female presents with persistent dry eyes and mouth, difficulty swallowing, and joint pain. After a thorough examination and testing, she is diagnosed with Sjögren's syndrome., A 60-year-old male experiences dry cough, swollen salivary glands, and fatigue. Further investigation reveals he has Sjögren's syndrome., A 50-year-old female with rheumatoid arthritis develops severe dry eyes and mouth. This secondary Sjögren's syndrome is diagnosed based on her existing condition and new symptoms.

Documentation should include details of the patient's symptoms (dry eyes, dry mouth, joint pain, fatigue, etc.), results of diagnostic tests (eye tests, salivary gland tests, blood tests, biopsies if performed), and any associated conditions.

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