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

ICD-10 M54.02

Billable / Specific

Panniculitis affecting regions of neck and back, cervical region

M54
Block
0
Synonyms
62
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM M54.02

ICD-10-CM code M54.02 represents Panniculitis affecting regions of neck and back, cervical region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M54). The 2026 edition of ICD-10-CM M54.02 became effective on October 1, 2025.

Medicare LCD Coverage for M54.02

Local Coverage Determinations (LCDs) from CMS MACs that list M54.02 as a covered diagnosis.

62 LCDs

Showing top 10 of 62 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62326 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT E0782 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62367 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT J9200 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62322 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62323 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62355 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT J2274 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT A4220 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62350 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M54.02.

4 policies

1 Cigna

Intraoperative Monitoring - (0509)
Policy ID: MM_0509

3 Medicare

Billing and Coding: Implantable Infusion Pump
Policy ID: ART-56695
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Spinal Cord Stimulators for Chronic Pain
Policy ID: ART-57791

CPT Codes Commonly Billed with M54.02

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

No procedure linkages on file for M54.02

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert M54.02 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M54.02 7236 10000

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

ICD-10 M54.02, Billing FAQ

Is ICD-10 code M54.02 billable? +

Yes, M54.02 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M54.02 map to? +

Per CMS GEMs, M54.02 maps to ICD-9 codes: 7236. 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 June 1, 2026.

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