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

ICD-10 M47.813

Billable / Specific

Spondylosis without myelopathy or radiculopathy, cervicothoracic region

M47
Block
0
Synonyms
698
LCDs
31
Payer Policies
19
Linked CPTs

About ICD-10-CM M47.813

ICD-10-CM code M47.813 represents Spondylosis without myelopathy or radiculopathy, cervicothoracic region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M47). The 2026 edition of ICD-10-CM M47.813 became effective on October 1, 2025.

Medicare LCD Coverage for M47.813

Local Coverage Determinations (LCDs) from CMS MACs that list M47.813 as a covered diagnosis.

698 LCDs

Showing top 10 of 698 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 M47.813.

31 policies

3 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Intraoperative Monitoring - (0509)
Policy ID: MM_0509

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: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969

CPT Codes Commonly Billed with M47.813

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

19 linkages
  • 64493 Facet injection — back pain, spondylosis Pain Medicine
  • 64636 CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 0216T CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 64495 CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 64491 CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 64633 CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 64490 CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 0213T CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 0217T CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
  • 0215T CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD

Convert M47.813 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M47.813 7210 10000

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

ICD-10 M47.813, Billing FAQ

Is ICD-10 code M47.813 billable? +

Yes, M47.813 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 M47.813? +

Procedures frequently paired with M47.813 include: 64493, 64636, 0216T, 64495, 64491.

What ICD-9 codes does M47.813 map to? +

Per CMS GEMs, M47.813 maps to ICD-9 codes: 7210. 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 July 16, 2026.

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