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

ICD-10 M62.85

Billable / Specific

Dysfunction of the multifidus muscles, lumbar region

M62
Block
0
Synonyms
438
LCDs
15
Payer Policies
0
Linked CPTs

About ICD-10-CM M62.85

ICD-10-CM code M62.85 represents Dysfunction of the multifidus muscles, lumbar region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M62). The 2026 edition of ICD-10-CM M62.85 became effective on October 1, 2025.

Medicare LCD Coverage for M62.85

Local Coverage Determinations (LCDs) from CMS MACs that list M62.85 as a covered diagnosis.

438 LCDs

Showing top 10 of 438 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
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: Hospice The Adult Failure To Thrive Syndrome
Article ID: 56679, Effective: 2024-10-01 00:00:00, 10 covered, 0 non-covered
CPT G0300 →
CMS LCD: Billing and Coding: Hospice The Adult Failure To Thrive Syndrome
Article ID: 56679, Effective: 2024-10-01 00:00:00, 10 covered, 0 non-covered
CPT G0299 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M62.85.

15 policies

1 Cigna

Intraoperative Monitoring - (0509)
Policy ID: MM_0509

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 M62.85

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

No procedure linkages on file for M62.85

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.

ICD-10 M62.85, Billing FAQ

Is ICD-10 code M62.85 billable? +

Yes, M62.85 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

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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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