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

ICD-10 M07.661

Billable / Specific

Enteropathic arthropathies, right knee

M07
Block
0
Synonyms
234
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM M07.661

ICD-10-CM code M07.661 represents Enteropathic arthropathies, right knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M07). The 2026 edition of ICD-10-CM M07.661 became effective on October 1, 2025.

Medicare LCD Coverage for M07.661

Local Coverage Determinations (LCDs) from CMS MACs that list M07.661 as a covered diagnosis.

234 LCDs

Showing top 10 of 234 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43846 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43845 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43847 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43770 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43644 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43775 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43645 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M07.661.

6 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 Knee Arthroplasty
Policy ID: ART-57685

CPT Codes Commonly Billed with M07.661

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

No procedure linkages on file for M07.661

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 M07.661 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M07.661 7131 10112
M07.661 71686 10111

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

Codes Adjacent To M07.661

Other codes in section M05-M14 (Inflammatory polyarthropathies).

M05 Rheumatoid arthritis with rheumatoid factor (non-billable) M05.0 Felty's syndrome (non-billable) M05.00 Felty's syndrome, unspecified site M05.01 Felty's syndrome, shoulder (non-billable) M05.011 Felty's syndrome, right shoulder M05.012 Felty's syndrome, left shoulder M05.019 Felty's syndrome, unspecified shoulder M05.02 Felty's syndrome, elbow (non-billable) M05.021 Felty's syndrome, right elbow M05.022 Felty's syndrome, left elbow M05.029 Felty's syndrome, unspecified elbow M05.03 Felty's syndrome, wrist (non-billable) M05.031 Felty's syndrome, right wrist M05.032 Felty's syndrome, left wrist M05.039 Felty's syndrome, unspecified wrist M05.04 Felty's syndrome, hand (non-billable) M05.041 Felty's syndrome, right hand M05.042 Felty's syndrome, left hand M05.049 Felty's syndrome, unspecified hand M05.05 Felty's syndrome, hip (non-billable)

ICD-10 M07.661, Billing FAQ

Is ICD-10 code M07.661 billable? +

Yes, M07.661 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M07.661 map to? +

Per CMS GEMs, M07.661 maps to ICD-9 codes: 7131, 71686. 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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