ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M07.651

Billable / Specific

Enteropathic arthropathies, right hip

M07
Block
0
Synonyms
268
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM M07.651

ICD-10-CM code M07.651 represents Enteropathic arthropathies, right hip. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M07). The 2026 edition of ICD-10-CM M07.651 became effective on October 1, 2025.

Medicare LCD Coverage for M07.651

Local Coverage Determinations (LCDs) from CMS MACs that list M07.651 as a covered diagnosis.

268 LCDs

Showing top 10 of 268 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Total Hip Arthroplasty
Article ID: 57683, Effective: 2025-11-06 00:00:00, 994 covered, 0 non-covered
CPT 27134 →
CMS LCD: Billing and Coding: Total Hip Arthroplasty
Article ID: 57683, Effective: 2025-11-06 00:00:00, 994 covered, 0 non-covered
CPT 27130 →
CMS LCD: Billing and Coding: Total Hip Arthroplasty
Article ID: 57683, Effective: 2025-11-06 00:00:00, 994 covered, 0 non-covered
CPT 27137 →
CMS LCD: Billing and Coding: Total Hip Arthroplasty
Article ID: 57683, Effective: 2025-11-06 00:00:00, 994 covered, 0 non-covered
CPT 27138 →
CMS LCD: Billing and Coding: Total Hip Arthroplasty
Article ID: 57683, Effective: 2025-11-06 00:00:00, 994 covered, 0 non-covered
CPT 27132 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27134 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27130 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27487 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27137 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27486 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M07.651.

10 policies

1 Cigna

Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

5 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Total Joint Arthroplasty
Policy ID: ART-56777

CPT Codes Commonly Billed with M07.651

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for M07.651

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert M07.651 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M07.651 7131 10112
M07.651 71685 10111

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M07.651, Billing FAQ

Is ICD-10 code M07.651 billable? +

Yes, M07.651 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M07.651 map to? +

Per CMS GEMs, M07.651 maps to ICD-9 codes: 7131, 71685. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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