ICD-10 M53.86
Billable / SpecificOther specified dorsopathies, lumbar region
About ICD-10-CM M53.86
ICD-10-CM code M53.86 represents Other specified dorsopathies, lumbar region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M53). The 2026 edition of ICD-10-CM M53.86 became effective on October 1, 2025.
Medicare LCD Coverage for M53.86
Local Coverage Determinations (LCDs) from CMS MACs that list M53.86 as a covered diagnosis.
Showing top 10 of 393 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M53.86.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with M53.86
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 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
- 0220T CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
Convert M53.86 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M53.86 | 7246 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M53.86
Other codes in section M50-M54 (Other dorsopathies).
ICD-10 M53.86, Billing FAQ
Is ICD-10 code M53.86 billable? +
Yes, M53.86 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 M53.86? +
Procedures frequently paired with M53.86 include: 64636, 0216T, 64495, 64491, 64633.
What ICD-9 codes does M53.86 map to? +
Per CMS GEMs, M53.86 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 May 31, 2026.
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