ICD-10 M11.269
Billable / SpecificOther chondrocalcinosis, unspecified knee
About ICD-10-CM M11.269
ICD-10-CM code M11.269 represents Other chondrocalcinosis, unspecified knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M11). The 2026 edition of ICD-10-CM M11.269 became effective on October 1, 2025.
Medicare LCD Coverage for M11.269
Local Coverage Determinations (LCDs) from CMS MACs that list M11.269 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M11.269.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M11.269 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M11.269
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 M11.269 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M11.269 | 71236 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M11.269
Other codes in section M05-M14 (Inflammatory polyarthropathies).
ICD-10 M11.269, Billing FAQ
Is ICD-10 code M11.269 billable? +
Yes, M11.269 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does M11.269 map to? +
Per CMS GEMs, M11.269 maps to ICD-9 codes: 71236. 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 May 31, 2026.
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