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

ICD-10 M23.52

Billable / Specific

Chronic instability of knee, left knee

M23
Block
0
Synonyms
132
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM M23.52

ICD-10-CM code M23.52 represents Chronic instability of knee, left knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M23). The 2026 edition of ICD-10-CM M23.52 became effective on October 1, 2025.

Medicare LCD Coverage for M23.52

Local Coverage Determinations (LCDs) from CMS MACs that list M23.52 as a covered diagnosis.

132 LCDs

Showing top 10 of 132 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 M23.52.

9 policies

5 Medicare

Knee Orthoses - Policy Article
Policy ID: ART-52465
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Policy ID: ART-56796
Billing and Coding: Total Knee Arthroplasty
Policy ID: ART-57685
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 M23.52

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

No procedure linkages on file for M23.52

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.

Convert M23.52 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M23.52 71785 10000
M23.52 71886 10000

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

ICD-10 M23.52, Billing FAQ

Is ICD-10 code M23.52 billable? +

Yes, M23.52 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M23.52 map to? +

Per CMS GEMs, M23.52 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 May 31, 2026.

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