ICD-10 M12.551
Billable / SpecificTraumatic arthropathy, right hip
About ICD-10-CM M12.551
ICD-10-CM code M12.551 represents Traumatic arthropathy, right hip. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M12). The 2026 edition of ICD-10-CM M12.551 became effective on October 1, 2025.
Medicare LCD Coverage for M12.551
Local Coverage Determinations (LCDs) from CMS MACs that list M12.551 as a covered diagnosis.
Showing top 10 of 292 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M12.551.
1 Cigna
5 Medicare
2 Aetna
CPT Codes Commonly Billed with M12.551
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 27445 CMS LCD: Billing and Coding: Total Joint Arthroplasty CMS LCD
- 0054T CMS LCD: Billing and Coding: Total Joint Arthroplasty CMS LCD
- 20985 CMS LCD: Billing and Coding: Total Joint Arthroplasty CMS LCD
- S2900 CMS LCD: Billing and Coding: Total Joint Arthroplasty CMS LCD
- 0055T CMS LCD: Billing and Coding: Total Joint Arthroplasty CMS LCD
Convert M12.551 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 |
|---|---|---|
| M12.551 | 71615 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M12.551
Other codes in section M05-M14 (Inflammatory polyarthropathies).
ICD-10 M12.551, Billing FAQ
Is ICD-10 code M12.551 billable? +
Yes, M12.551 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 M12.551? +
Procedures frequently paired with M12.551 include: 27445, 0054T, 20985, S2900, 0055T.
What ICD-9 codes does M12.551 map to? +
Per CMS GEMs, M12.551 maps to ICD-9 codes: 71615. 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 17, 2026.
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