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

ICD-10 M23.50

Billable / Specific

Chronic instability of knee, unspecified knee

M23
Block
0
Synonyms
16
LCDs
3
Payer Policies
2
Linked CPTs

About ICD-10-CM M23.50

ICD-10-CM code M23.50 represents Chronic instability of knee, unspecified knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M23). The 2026 edition of ICD-10-CM M23.50 became effective on October 1, 2025.

Medicare LCD Coverage for M23.50

Local Coverage Determinations (LCDs) from CMS MACs that list M23.50 as a covered diagnosis.

16 LCDs

Showing top 10 of 16 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27134 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27130 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27487 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27137 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27486 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27138 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27132 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27447 →
CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee)
Article ID: 57765, Effective: 2026-01-01 00:00:00, 2372 covered, 1 non-covered
CPT 27134 →
CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee)
Article ID: 57765, Effective: 2026-01-01 00:00:00, 2372 covered, 1 non-covered
CPT 27130 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M23.50.

3 policies

2 Medicare

Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Policy ID: ART-56796
Billing and Coding: Major Joint Replacement (Hip and Knee)
Policy ID: ART-57765

1 Aetna

Allograft Transplants of the Extremities
Policy ID: CPB-0364

CPT Codes Commonly Billed with M23.50

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

2 linkages
  • 20610 Joint injection major — knee OA, hip OA, shoulder OA, shoulder impingement, joint pain, meniscal derangement, synovitis, bursitis Orthopedics
  • 73721 MRI knee without contrast — knee pain, meniscal derangement, meniscal tear, patellar tendinitis, knee OA, ACL injury Orthopedics

Convert M23.50 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M23.50 71785 10000
M23.50 71886 10000

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

ICD-10 M23.50, Billing FAQ

Is ICD-10 code M23.50 billable? +

Yes, M23.50 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 M23.50? +

Procedures frequently paired with M23.50 include: 20610, 73721.

What ICD-9 codes does M23.50 map to? +

Per CMS GEMs, M23.50 maps to ICD-9 codes: 71785, 71886. 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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