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

ICD-10 M12.562

Billable / Specific

Traumatic arthropathy, left knee

M12
Block
0
Synonyms
285
LCDs
11
Payer Policies
5
Linked CPTs

About ICD-10-CM M12.562

ICD-10-CM code M12.562 represents Traumatic arthropathy, left knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M12). The 2026 edition of ICD-10-CM M12.562 became effective on October 1, 2025.

Medicare LCD Coverage for M12.562

Local Coverage Determinations (LCDs) from CMS MACs that list M12.562 as a covered diagnosis.

285 LCDs

Showing top 10 of 285 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 27134 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 20985 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT S2900 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 27130 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 27487 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 27137 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 27486 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 27138 →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 0055T →
CMS LCD: Billing and Coding: Total Joint Arthroplasty
Article ID: 60249, Effective: , 1313 covered, 0 non-covered
CPT 27445 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M12.562.

11 policies

1 Cigna

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

5 Medicare

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
Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Policy ID: ART-56796

CPT Codes Commonly Billed with M12.562

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

5 linkages
  • 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 M12.562 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M12.562 71616 10000

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

ICD-10 M12.562, Billing FAQ

Is ICD-10 code M12.562 billable? +

Yes, M12.562 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 M12.562? +

Procedures frequently paired with M12.562 include: 27445, 0054T, 20985, S2900, 0055T.

What ICD-9 codes does M12.562 map to? +

Per CMS GEMs, M12.562 maps to ICD-9 codes: 71616. 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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