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

ICD-10 M47.818

Billable / Specific

Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region

M47
Block
0
Synonyms
574
LCDs
33
Payer Policies
4
Linked CPTs

About ICD-10-CM M47.818

ICD-10-CM code M47.818 represents Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M47). The 2026 edition of ICD-10-CM M47.818 became effective on October 1, 2025.

Medicare LCD Coverage for M47.818

Local Coverage Determinations (LCDs) from CMS MACs that list M47.818 as a covered diagnosis.

574 LCDs

Showing top 10 of 574 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 M47.818.

33 policies

4 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
Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

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 M47.818

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

4 linkages
  • 27096 CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures CMS LCD
  • G0260 CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures CMS LCD
  • 64451 CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures CMS LCD
  • 64625 CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures CMS LCD

Convert M47.818 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M47.818 7213 10000

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

ICD-10 M47.818, Billing FAQ

Is ICD-10 code M47.818 billable? +

Yes, M47.818 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 M47.818? +

Procedures frequently paired with M47.818 include: 27096, G0260, 64451, 64625.

What ICD-9 codes does M47.818 map to? +

Per CMS GEMs, M47.818 maps to ICD-9 codes: 7213. 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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