ICD-10 M14
Non-Billable HeaderArthropathies in other diseases classified elsewhere
About ICD-10-CM M14
ICD-10-CM code M14 represents Arthropathies in other diseases classified elsewhere. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M14). The 2026 edition of ICD-10-CM M14 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with M14. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- arthropathy in:
- diabetes mellitus (E08-E13 with .61-)
- hematological disorders (M36.2-M36.3)
- hypersensitivity reactions (M36.4)
- neoplastic disease (M36.1)
- neurosyphillis (A52.16)
- sarcoidosis (D86.86)
- enteropathic arthropathies (M07.-)
- juvenile psoriatic arthropathy (L40.54)
- lipoid dermatoarthritis (E78.81)
Medicare LCD Coverage for M14
Local Coverage Determinations (LCDs) from CMS MACs that list M14 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 M14.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M14 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M14
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.
Codes Adjacent To M14
Other codes in section M05-M14 (Inflammatory polyarthropathies).
ICD-10 M14, Billing FAQ
Is ICD-10 code M14 billable? +
No, M14 is a non-billable header code. Use a more specific child code from block M14 when submitting claims.
What codes are Type 1 Excludes for M14? +
Type 1 Excludes (never code together with M14): arthropathy in:; diabetes mellitus (E08-E13 with .61-); hematological disorders (M36.2-M36.3)
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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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