PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M60.859

Billable / Specific

Other myositis, unspecified thigh

M60
Block
0
Synonyms
16
LCDs
5
Payer Policies
1
Linked CPTs

About ICD-10-CM M60.859

ICD-10-CM code M60.859 represents Other myositis, unspecified thigh. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M60). The 2026 edition of ICD-10-CM M60.859 became effective on October 1, 2025.

Medicare LCD Coverage for M60.859

Local Coverage Determinations (LCDs) from CMS MACs that list M60.859 as a covered diagnosis.

16 LCDs

Showing top 10 of 16 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Article ID: 56841, Effective: 2023-10-01 00:00:00, 759 covered, 1 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Trigger Point Injections
Article ID: 57751, Effective: 2026-01-01 00:00:00, 36 covered, 0 non-covered
CPT 20552 →
CMS LCD: Billing and Coding: Trigger Point Injections
Article ID: 57751, Effective: 2026-01-01 00:00:00, 36 covered, 0 non-covered
CPT 20553 →
CMS LCD: Billing and Coding: Trigger Point Injections
Article ID: 57751, Effective: 2026-01-01 00:00:00, 36 covered, 0 non-covered
CPT M0076 →
CMS LCD: Billing and Coding: Assays for Vitamins and Metabolic Function
Article ID: 56416, Effective: 2025-10-01 00:00:00, 899 covered, 1 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Assays for Vitamins and Metabolic Function
Article ID: 56416, Effective: 2025-10-01 00:00:00, 899 covered, 1 non-covered
CPT 82607 →
CMS LCD: Billing and Coding: Assays for Vitamins and Metabolic Function
Article ID: 56416, Effective: 2025-10-01 00:00:00, 899 covered, 1 non-covered
CPT 82746 →
CMS LCD: Billing and Coding: Assays for Vitamins and Metabolic Function
Article ID: 56416, Effective: 2025-10-01 00:00:00, 899 covered, 1 non-covered
CPT 85385 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M60.859.

5 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

4 Medicare

Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Policy ID: ART-56841
Billing and Coding: Sedimentation Rate, Erythrocyte
Policy ID: ART-57657
Billing and Coding: Trigger Point Injections
Policy ID: ART-57751

CPT Codes Commonly Billed with M60.859

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

1 linkages
  • M0076 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD

Convert M60.859 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M60.859 7291 10000

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

ICD-10 M60.859, Billing FAQ

Is ICD-10 code M60.859 billable? +

Yes, M60.859 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 M60.859? +

Procedures frequently paired with M60.859 include: M0076.

What ICD-9 codes does M60.859 map to? +

Per CMS GEMs, M60.859 maps to ICD-9 codes: 7291. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking