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

ICD-10 M12.451

Billable / Specific

Intermittent hydrarthrosis, right hip

M12
Block
0
Synonyms
196
LCDs
7
Payer Policies
1
Linked CPTs

About ICD-10-CM M12.451

ICD-10-CM code M12.451 represents Intermittent hydrarthrosis, right hip. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M12). The 2026 edition of ICD-10-CM M12.451 became effective on October 1, 2025.

Medicare LCD Coverage for M12.451

Local Coverage Determinations (LCDs) from CMS MACs that list M12.451 as a covered diagnosis.

196 LCDs

Showing top 10 of 196 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98942 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98940 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98941 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98943 →
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: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M12.451.

7 policies

5 Medicare

Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Chiropractic Services
Policy ID: ART-56273
Billing and Coding: Total Joint Arthroplasty
Policy ID: ART-56777
Billing and Coding: Total Hip Arthroplasty
Policy ID: ART-57683

CPT Codes Commonly Billed with M12.451

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

1 linkages
  • 98943 CMS LCD: Billing and Coding: Chiropractic Services CMS LCD

Convert M12.451 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M12.451 71935 10000

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

ICD-10 M12.451, Billing FAQ

Is ICD-10 code M12.451 billable? +

Yes, M12.451 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with M12.451? +

Procedures frequently paired with M12.451 include: 98943.

What ICD-9 codes does M12.451 map to? +

Per CMS GEMs, M12.451 maps to ICD-9 codes: 71935. 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 July 16, 2026.

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