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

ICD-10 M40.12

Billable / Specific

Other secondary kyphosis, cervical region

M40
Block
0
Synonyms
365
LCDs
17
Payer Policies
12
Linked CPTs

About ICD-10-CM M40.12

ICD-10-CM code M40.12 represents Other secondary kyphosis, cervical region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M40). The 2026 edition of ICD-10-CM M40.12 became effective on October 1, 2025.

Medicare LCD Coverage for M40.12

Local Coverage Determinations (LCDs) from CMS MACs that list M40.12 as a covered diagnosis.

365 LCDs

Showing top 10 of 365 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cervical Fusion
Article ID: 59664, Effective: 2026-04-09 00:00:00, 508 covered, 0 non-covered
CPT 22548 →
CMS LCD: Billing and Coding: Cervical Fusion
Article ID: 59664, Effective: 2026-04-09 00:00:00, 508 covered, 0 non-covered
CPT 22600 →
CMS LCD: Billing and Coding: Cervical Fusion
Article ID: 59664, Effective: 2026-04-09 00:00:00, 508 covered, 0 non-covered
CPT 22551 →
CMS LCD: Billing and Coding: Cervical Fusion
Article ID: 59664, Effective: 2026-04-09 00:00:00, 508 covered, 0 non-covered
CPT 22595 →
CMS LCD: Billing and Coding: Cervical Fusion
Article ID: 59664, Effective: 2026-04-09 00:00:00, 508 covered, 0 non-covered
CPT 22552 →
CMS LCD: Billing and Coding: Cervical Fusion
Article ID: 59664, Effective: 2026-04-09 00:00:00, 508 covered, 0 non-covered
CPT 22590 →
CMS LCD: Billing and Coding: Cervical Fusion
Article ID: 59664, Effective: 2026-04-09 00:00:00, 508 covered, 0 non-covered
CPT 22554 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95926 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95925 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95927 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M40.12.

17 policies

1 Cigna

Intraoperative Monitoring - (0509)
Policy ID: MM_0509

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Intraoperative Neurophysiological Testing
Policy ID: ART-56722

CPT Codes Commonly Billed with M40.12

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

12 linkages
  • 22600 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22548 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22590 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22551 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22595 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22554 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22552 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22802 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22812 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22800 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD

Convert M40.12 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M40.12 73741 10000

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

ICD-10 M40.12, Billing FAQ

Is ICD-10 code M40.12 billable? +

Yes, M40.12 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 M40.12? +

Procedures frequently paired with M40.12 include: 22600, 22548, 22590, 22551, 22595.

What ICD-9 codes does M40.12 map to? +

Per CMS GEMs, M40.12 maps to ICD-9 codes: 73741. 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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