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

ICD-10 M17.9

Billable / Specific

Osteoarthritis of knee, unspecified

M17
Block
0
Synonyms
233
LCDs
18
Payer Policies
1
Linked CPTs

About ICD-10-CM M17.9

ICD-10-CM code M17.9 represents Osteoarthritis of knee, unspecified. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M17). The 2026 edition of ICD-10-CM M17.9 became effective on October 1, 2025.

Medicare LCD Coverage for M17.9

Local Coverage Determinations (LCDs) from CMS MACs that list M17.9 as a covered diagnosis.

233 LCDs

Showing top 10 of 233 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 M17.9.

18 policies

2 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

5 Medicare

Billing and Coding: Hyaluronans Intra-articular Injections of
Policy ID: ART-52420
Knee Orthoses - Policy Article
Policy ID: ART-52465
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Bariatric Surgical Management of Morbid Obesity
Policy ID: ART-56422

5 Aetna

Acupuncture and Dry Needling
Policy ID: CPB-0135
Foot Orthotics
Policy ID: CPB-0451
Seat Lifts and Patient Lifts
Policy ID: CPB-0459
Knee Arthroplasty
Policy ID: CPB-0660
Knee Arthroscopy / Osteoarthritis of the Knee
Policy ID: CPB-0673

CPT Codes Commonly Billed with M17.9

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

1 linkages
  • 27447 Total knee arthroplasty — primary knee OA unilateral/bilateral, post-traumatic OA, osteonecrosis Orthopedics

Convert M17.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M17.9 71536 10000
M17.9 71596 10000

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

ICD-10 M17.9, Billing FAQ

Is ICD-10 code M17.9 billable? +

Yes, M17.9 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 M17.9? +

Procedures frequently paired with M17.9 include: 27447.

What ICD-9 codes does M17.9 map to? +

Per CMS GEMs, M17.9 maps to ICD-9 codes: 71536, 71596. 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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