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

ICD-10 M65.812

Billable / Specific

Other synovitis and tenosynovitis, left shoulder

M65
Block
0
Synonyms
130
LCDs
6
Payer Policies
2
Linked CPTs

About ICD-10-CM M65.812

ICD-10-CM code M65.812 represents Other synovitis and tenosynovitis, left shoulder. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M65). The 2026 edition of ICD-10-CM M65.812 became effective on October 1, 2025.

Medicare LCD Coverage for M65.812

Local Coverage Determinations (LCDs) from CMS MACs that list M65.812 as a covered diagnosis.

130 LCDs

Showing top 10 of 130 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20526 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20561 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20612 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 28899 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20550 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20551 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20560 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M65.812.

6 policies

5 Medicare

Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Policy ID: ART-52863
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
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 M65.812

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

2 linkages
  • 20561 CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, bursa, and ganglion cysts CMS LCD
  • 20560 CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, bursa, and ganglion cysts CMS LCD

Convert M65.812 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M65.812 72709 10000

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

ICD-10 M65.812, Billing FAQ

Is ICD-10 code M65.812 billable? +

Yes, M65.812 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 M65.812? +

Procedures frequently paired with M65.812 include: 20561, 20560.

What ICD-9 codes does M65.812 map to? +

Per CMS GEMs, M65.812 maps to ICD-9 codes: 72709. 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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