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

ICD-10 M19.09

Billable / Specific

Primary osteoarthritis, other specified site

M19
Block
0
Synonyms
456
LCDs
11
Payer Policies
0
Linked CPTs

About ICD-10-CM M19.09

ICD-10-CM code M19.09 represents Primary osteoarthritis, other specified site. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M19). The 2026 edition of ICD-10-CM M19.09 became effective on October 1, 2025.

Medicare LCD Coverage for M19.09

Local Coverage Determinations (LCDs) from CMS MACs that list M19.09 as a covered diagnosis.

456 LCDs

Showing top 10 of 456 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81227 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81328 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81335 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 0071U →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81383 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81418 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 0073U →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81283 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81408 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81355 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M19.09.

11 policies

5 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065

CPT Codes Commonly Billed with M19.09

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

No procedure linkages on file for M19.09

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 M19.09

Other codes in section M15-M19 (Osteoarthritis).

M15 Polyosteoarthritis (non-billable) M15.0 Primary generalized (osteo)arthritis M15.1 Heberden's nodes (with arthropathy) M15.2 Bouchard's nodes (with arthropathy) M15.3 Secondary multiple arthritis M15.4 Erosive (osteo)arthritis M15.8 Other polyosteoarthritis M15.9 Polyosteoarthritis, unspecified M16 Osteoarthritis of hip (non-billable) M16.0 Bilateral primary osteoarthritis of hip M16.1 Unilateral primary osteoarthritis of hip (non-billable) M16.10 Unilateral primary osteoarthritis, unspecified hip M16.11 Unilateral primary osteoarthritis, right hip M16.12 Unilateral primary osteoarthritis, left hip M16.2 Bilateral osteoarthritis resulting from hip dysplasia M16.3 Unilateral osteoarthritis resulting from hip dysplasia (non-billable) M16.30 Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip M16.31 Unilateral osteoarthritis resulting from hip dysplasia, right hip M16.32 Unilateral osteoarthritis resulting from hip dysplasia, left hip M16.4 Bilateral post-traumatic osteoarthritis of hip

ICD-10 M19.09, Billing FAQ

Is ICD-10 code M19.09 billable? +

Yes, M19.09 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

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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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