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

ICD-10 M43.6

Billable / Specific

Torticollis

M43
Block
0
Synonyms
857
LCDs
27
Payer Policies
0
Linked CPTs

About ICD-10-CM M43.6

ICD-10-CM code M43.6 represents Torticollis. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M43). The 2026 edition of ICD-10-CM M43.6 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with M43.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • congenital (sternomastoid) torticollis (Q68.0)
  • current injury - see Injury, of spine, by body region
  • ocular torticollis (R29.891)
  • psychogenic torticollis (F45.8)
  • spasmodic torticollis (G24.3)
  • torticollis due to birth injury (P15.2)

Medicare LCD Coverage for M43.6

Local Coverage Determinations (LCDs) from CMS MACs that list M43.6 as a covered diagnosis.

857 LCDs

Showing top 10 of 857 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: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M43.6.

27 policies

1 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

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: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969

CPT Codes Commonly Billed with M43.6

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

No procedure linkages on file for M43.6

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 M43.6 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M43.6 7235 00000

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

ICD-10 M43.6, Billing FAQ

Is ICD-10 code M43.6 billable? +

Yes, M43.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for M43.6? +

Type 1 Excludes (never code together with M43.6): congenital (sternomastoid) torticollis (Q68.0); current injury - see Injury, of spine, by body region; ocular torticollis (R29.891)

What ICD-9 codes does M43.6 map to? +

Per CMS GEMs, M43.6 maps to ICD-9 codes: 7235. 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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