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

ICD-10 M19.049

Billable / Specific

Primary osteoarthritis, unspecified hand

M19
Block
0
Synonyms
0
LCDs
1
Payer Policies
2
Linked CPTs

About ICD-10-CM M19.049

ICD-10-CM code M19.049 represents Primary osteoarthritis, unspecified hand. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M19). The 2026 edition of ICD-10-CM M19.049 became effective on October 1, 2025.

Medicare LCD Coverage for M19.049

Local Coverage Determinations (LCDs) from CMS MACs that list M19.049 as a covered diagnosis.

No Medicare LCDs reference M19.049 as covered

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 M19.049.

1 policies

1 Aetna

Distal Interphalangeal (DIP), Metacarpophalangeal (MCP) and Proximal Interphalangeal (PIP) Joint Implants
Policy ID: CPB-0798

CPT Codes Commonly Billed with M19.049

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

2 linkages
  • 20605 Joint injection intermediate — hand/wrist OA, synovitis, ganglion cyst, wrist pain, lateral/medial epicondylitis Orthopedics
  • 20600 Joint injection small — finger/toe joint OA, trigger finger, synovitis, calcaneal spur, plantar fasciitis, Dupuytren, foot/ankle pain Orthopedics

Convert M19.049 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M19.049 71514 10000

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

ICD-10 M19.049, Billing FAQ

Is ICD-10 code M19.049 billable? +

Yes, M19.049 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 M19.049? +

Procedures frequently paired with M19.049 include: 20605, 20600.

What ICD-9 codes does M19.049 map to? +

Per CMS GEMs, M19.049 maps to ICD-9 codes: 71514. 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 June 1, 2026.

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