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

ICD-10 M53.2X7

Billable / Specific

Spinal instabilities, lumbosacral region

M53
Block
0
Synonyms
313
LCDs
15
Payer Policies
2
Linked CPTs

About ICD-10-CM M53.2X7

ICD-10-CM code M53.2X7 represents Spinal instabilities, lumbosacral region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M53). The 2026 edition of ICD-10-CM M53.2X7 became effective on October 1, 2025.

Medicare LCD Coverage for M53.2X7

Local Coverage Determinations (LCDs) from CMS MACs that list M53.2X7 as a covered diagnosis.

313 LCDs

Showing top 10 of 313 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: 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: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43846 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M53.2X7.

15 policies

5 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Policy ID: ART-56034
Billing and Coding: Chiropractic Services
Policy ID: ART-56273

CPT Codes Commonly Billed with M53.2X7

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

2 linkages
  • 27279 CMS LCD: Billing and Coding: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) CMS LCD
  • 27278 CMS LCD: Billing and Coding: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) CMS LCD

Convert M53.2X7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M53.2X7 7246 10000

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

ICD-10 M53.2X7, Billing FAQ

Is ICD-10 code M53.2X7 billable? +

Yes, M53.2X7 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 M53.2X7? +

Procedures frequently paired with M53.2X7 include: 27279, 27278.

What ICD-9 codes does M53.2X7 map to? +

Per CMS GEMs, M53.2X7 maps to ICD-9 codes: 7246. 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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