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

ICD-10 M46.41

Billable / Specific

Discitis, unspecified, occipito-atlanto-axial region

M46
Block
0
Synonyms
530
LCDs
22
Payer Policies
16
Linked CPTs

About ICD-10-CM M46.41

ICD-10-CM code M46.41 represents Discitis, unspecified, occipito-atlanto-axial region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M46). The 2026 edition of ICD-10-CM M46.41 became effective on October 1, 2025.

Medicare LCD Coverage for M46.41

Local Coverage Determinations (LCDs) from CMS MACs that list M46.41 as a covered diagnosis.

530 LCDs

Showing top 10 of 530 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 M46.41.

22 policies

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: 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
Billing and Coding: Chiropractic Services
Policy ID: ART-56273

CPT Codes Commonly Billed with M46.41

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

16 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
  • 78459 CMS LCD: Billing and Coding: Positron Emission Tomography (PET) Scan for Inflammation and Infection CMS LCD
  • 78429 CMS LCD: Billing and Coding: Positron Emission Tomography (PET) Scan for Inflammation and Infection CMS LCD
  • 78432 CMS LCD: Billing and Coding: Positron Emission Tomography (PET) Scan for Inflammation and Infection CMS LCD

Convert M46.41 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M46.41 72291 10000

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

ICD-10 M46.41, Billing FAQ

Is ICD-10 code M46.41 billable? +

Yes, M46.41 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 M46.41? +

Procedures frequently paired with M46.41 include: 22600, 22548, 22590, 22551, 22595.

What ICD-9 codes does M46.41 map to? +

Per CMS GEMs, M46.41 maps to ICD-9 codes: 72291. 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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