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

ICD-10 M40.55

Billable / Specific

Lordosis, unspecified, thoracolumbar region

M40
Block
0
Synonyms
295
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM M40.55

ICD-10-CM code M40.55 represents Lordosis, unspecified, thoracolumbar region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M40). The 2026 edition of ICD-10-CM M40.55 became effective on October 1, 2025.

Medicare LCD Coverage for M40.55

Local Coverage Determinations (LCDs) from CMS MACs that list M40.55 as a covered diagnosis.

295 LCDs

Showing top 10 of 295 total . Click a CPT for full coverage scope.

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 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95938 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29445 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97542 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M40.55.

9 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

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 M40.55

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

No procedure linkages on file for M40.55

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 M40.55 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M40.55 73729 10000
M40.55 73742 10000

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

ICD-10 M40.55, Billing FAQ

Is ICD-10 code M40.55 billable? +

Yes, M40.55 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M40.55 map to? +

Per CMS GEMs, M40.55 maps to ICD-9 codes: 73729, 73742. 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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