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

ICD-10 M54.07

Billable / Specific

Panniculitis affecting regions of neck and back, lumbosacral region

M54
Block
0
Synonyms
375
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM M54.07

ICD-10-CM code M54.07 represents Panniculitis affecting regions of neck and back, lumbosacral region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M54). The 2026 edition of ICD-10-CM M54.07 became effective on October 1, 2025.

Medicare LCD Coverage for M54.07

Local Coverage Determinations (LCDs) from CMS MACs that list M54.07 as a covered diagnosis.

375 LCDs

Showing top 10 of 375 total . Click a CPT for full coverage scope.

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: Injection of Trigger Points
Article ID: 57114, Effective: 2026-01-01 00:00:00, 213 covered, 1 non-covered
CPT 20552 →
CMS LCD: Billing and Coding: Injection of Trigger Points
Article ID: 57114, Effective: 2026-01-01 00:00:00, 213 covered, 1 non-covered
CPT 20553 →
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 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43845 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43847 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M54.07.

9 policies

5 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065

CPT Codes Commonly Billed with M54.07

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

No procedure linkages on file for M54.07

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 M54.07 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M54.07 7248 10000

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

Codes Adjacent To M54.07

Other codes in section M50-M54 (Other dorsopathies).

M50 Cervical disc disorders (non-billable) M50.0 Cervical disc disorder with myelopathy (non-billable) M50.00 Cervical disc disorder with myelopathy, unspecified cervical region M50.01 Cervical disc disorder with myelopathy, high cervical region M50.02 Cervical disc disorder with myelopathy, mid-cervical region (non-billable) M50.020 Cervical disc disorder with myelopathy, mid-cervical region, unspecified level M50.021 Cervical disc disorder at C4-C5 level with myelopathy M50.022 Cervical disc disorder at C5-C6 level with myelopathy M50.023 Cervical disc disorder at C6-C7 level with myelopathy M50.03 Cervical disc disorder with myelopathy, cervicothoracic region M50.1 Cervical disc disorder with radiculopathy (non-billable) M50.10 Cervical disc disorder with radiculopathy, unspecified cervical region M50.11 Cervical disc disorder with radiculopathy, high cervical region M50.12 Cervical disc disorder with radiculopathy, mid-cervical region (non-billable) M50.120 Mid-cervical disc disorder, unspecified level M50.121 Cervical disc disorder at C4-C5 level with radiculopathy M50.122 Cervical disc disorder at C5-C6 level with radiculopathy M50.123 Cervical disc disorder at C6-C7 level with radiculopathy M50.13 Cervical disc disorder with radiculopathy, cervicothoracic region M50.2 Other cervical disc displacement (non-billable)

ICD-10 M54.07, Billing FAQ

Is ICD-10 code M54.07 billable? +

Yes, M54.07 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M54.07 map to? +

Per CMS GEMs, M54.07 maps to ICD-9 codes: 7248. 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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