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

ICD-10 M41.56

Billable / Specific

Other secondary scoliosis, lumbar region

M41
Block
0
Synonyms
316
LCDs
12
Payer Policies
5
Linked CPTs

About ICD-10-CM M41.56

ICD-10-CM code M41.56 represents Other secondary scoliosis, lumbar region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M41). The 2026 edition of ICD-10-CM M41.56 became effective on October 1, 2025.

Medicare LCD Coverage for M41.56

Local Coverage Determinations (LCDs) from CMS MACs that list M41.56 as a covered diagnosis.

316 LCDs

Showing top 10 of 316 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT Q9953 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72148 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT A9585 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72158 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72149 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M41.56.

12 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: Lumbar Spinal Fusion
Policy ID: ART-56396

CPT Codes Commonly Billed with M41.56

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

5 linkages
  • 22630 CMS LCD: Billing and Coding: Lumbar Spinal Fusion CMS LCD
  • 22533 CMS LCD: Billing and Coding: Lumbar Spinal Fusion CMS LCD
  • 22612 CMS LCD: Billing and Coding: Lumbar Spinal Fusion CMS LCD
  • 22558 CMS LCD: Billing and Coding: Lumbar Spinal Fusion CMS LCD
  • 22633 CMS LCD: Billing and Coding: Lumbar Spinal Fusion CMS LCD

Convert M41.56 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M41.56 73743 10000

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

ICD-10 M41.56, Billing FAQ

Is ICD-10 code M41.56 billable? +

Yes, M41.56 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 M41.56? +

Procedures frequently paired with M41.56 include: 22630, 22533, 22612, 22558, 22633.

What ICD-9 codes does M41.56 map to? +

Per CMS GEMs, M41.56 maps to ICD-9 codes: 73743. 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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