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

ICD-10 M25.359

Billable / Specific

Other instability, unspecified hip

M25
Block
0
Synonyms
8
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM M25.359

ICD-10-CM code M25.359 represents Other instability, unspecified hip. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M25). The 2026 edition of ICD-10-CM M25.359 became effective on October 1, 2025.

Medicare LCD Coverage for M25.359

Local Coverage Determinations (LCDs) from CMS MACs that list M25.359 as a covered diagnosis.

8 LCDs

Showing top 8. Click a CPT for full coverage scope.

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 →
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 27487 →
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 27137 →
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 27486 →
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 27138 →
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 27132 →
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 27447 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M25.359.

1 policies

1 Medicare

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

CPT Codes Commonly Billed with M25.359

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

No procedure linkages on file for M25.359

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 M25.359 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M25.359 71885 10000

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

ICD-10 M25.359, Billing FAQ

Is ICD-10 code M25.359 billable? +

Yes, M25.359 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M25.359 map to? +

Per CMS GEMs, M25.359 maps to ICD-9 codes: 71885. 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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