ICD-10 M22
Non-Billable HeaderDisorder of patella
About ICD-10-CM M22
ICD-10-CM code M22 represents Disorder of patella. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M22). The 2026 edition of ICD-10-CM M22 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 2 Excludes
Not included here, the excluded code is not part of M22, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- traumatic dislocation of patella (S83.0-)
Medicare LCD Coverage for M22
Local Coverage Determinations (LCDs) from CMS MACs that list M22 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 M22.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M22 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M22
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 M22
Other codes in section M20-M25 (Other joint disorders).
ICD-10 M22, Billing FAQ
Is ICD-10 code M22 billable? +
No, M22 is a non-billable header code. Use a more specific child code from block M22 when submitting claims.
What codes are Type 2 Excludes for M22? +
Type 2 Excludes (may be coded together when both conditions exist): traumatic dislocation of patella (S83.0-)
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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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