ICD-10 M25.552
Billable / SpecificPain in left hip
About ICD-10-CM M25.552
ICD-10-CM code M25.552 represents Pain in left hip. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M25). The 2026 edition of ICD-10-CM M25.552 became effective on October 1, 2025.
Medicare LCD Coverage for M25.552
Local Coverage Determinations (LCDs) from CMS MACs that list M25.552 as a covered diagnosis.
Showing top 10 of 612 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M25.552.
3 Cigna
5 Medicare
CPT Codes Commonly Billed with M25.552
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 73721 MRI hip without contrast — hip pain, hip OA, femoral neck fracture, hip dislocation, AVN femoral head, sciatica, hip region pain Orthopedics
- 86790 CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods CMS LCD
- 86794 CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods CMS LCD
Convert M25.552 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M25.552 | 71945 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M25.552
Other codes in section M20-M25 (Other joint disorders).
ICD-10 M25.552, Billing FAQ
Is ICD-10 code M25.552 billable? +
Yes, M25.552 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 M25.552? +
Procedures frequently paired with M25.552 include: 73721, 86790, 86794.
What ICD-9 codes does M25.552 map to? +
Per CMS GEMs, M25.552 maps to ICD-9 codes: 71945. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team