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

ICD-10 M25.862

Billable / Specific

Other specified joint disorders, left knee

M25
Block
0
Synonyms
253
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM M25.862

ICD-10-CM code M25.862 represents Other specified joint disorders, left knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M25). The 2026 edition of ICD-10-CM M25.862 became effective on October 1, 2025.

Medicare LCD Coverage for M25.862

Local Coverage Determinations (LCDs) from CMS MACs that list M25.862 as a covered diagnosis.

253 LCDs

Showing top 10 of 253 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98942 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98940 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98941 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98943 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43846 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43845 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43847 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43770 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43644 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43775 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M25.862.

8 policies

5 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Chiropractic Services
Policy ID: ART-56273

CPT Codes Commonly Billed with M25.862

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

No procedure linkages on file for M25.862

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 M25.862 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M25.862 71986 10000

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

ICD-10 M25.862, Billing FAQ

Is ICD-10 code M25.862 billable? +

Yes, M25.862 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M25.862 map to? +

Per CMS GEMs, M25.862 maps to ICD-9 codes: 71986. 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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