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

ICD-10 M65.861

Billable / Specific

Other synovitis and tenosynovitis, right lower leg

M65
Block
0
Synonyms
130
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM M65.861

ICD-10-CM code M65.861 represents Other synovitis and tenosynovitis, right lower leg. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M65). The 2026 edition of ICD-10-CM M65.861 became effective on October 1, 2025.

Medicare LCD Coverage for M65.861

Local Coverage Determinations (LCDs) from CMS MACs that list M65.861 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 M65.861.

7 policies

1 Cigna

Strapping and Taping - (CPG143)
Policy ID: CPG143_STRAPPING_TAPING

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 M65.861

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

No procedure linkages on file for M65.861

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 M65.861 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M65.861 72709 10000

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

ICD-10 M65.861, Billing FAQ

Is ICD-10 code M65.861 billable? +

Yes, M65.861 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M65.861 map to? +

Per CMS GEMs, M65.861 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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