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

ICD-10 M65.242

Billable / Specific

Calcific tendinitis, left hand

M65
Block
0
Synonyms
235
LCDs
5
Payer Policies
6
Linked CPTs

About ICD-10-CM M65.242

ICD-10-CM code M65.242 represents Calcific tendinitis, left hand. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M65). The 2026 edition of ICD-10-CM M65.242 became effective on October 1, 2025.

Medicare LCD Coverage for M65.242

Local Coverage Determinations (LCDs) from CMS MACs that list M65.242 as a covered diagnosis.

235 LCDs

Showing top 10 of 235 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 26341 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 64632 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 64455 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 20526 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 20612 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 20527 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 28899 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 20550 →
CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Article ID: 57079, Effective: 2026-01-01 00:00:00, 662 covered, 0 non-covered
CPT 20551 →
CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound
Article ID: 56787, Effective: 2023-10-01 00:00:00, 1282 covered, 0 non-covered
CPT 76881 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M65.242.

5 policies

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nonvascular Extremity Ultrasound
Policy ID: ART-56787
Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
Policy ID: ART-57079

CPT Codes Commonly Billed with M65.242

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

6 linkages
  • 20551 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 20550 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 20612 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 26341 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 28899 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 20527 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD

Convert M65.242 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M65.242 72782 10000

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

ICD-10 M65.242, Billing FAQ

Is ICD-10 code M65.242 billable? +

Yes, M65.242 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 M65.242? +

Procedures frequently paired with M65.242 include: 20551, 20550, 20612, 26341, 28899.

What ICD-9 codes does M65.242 map to? +

Per CMS GEMs, M65.242 maps to ICD-9 codes: 72782. 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 July 16, 2026.

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