ICD-10 M67
Non-Billable HeaderOther disorders of synovium and tendon
About ICD-10-CM M67
ICD-10-CM code M67 represents Other disorders of synovium and tendon. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M67). The 2026 edition of ICD-10-CM M67 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with M67. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- palmar fascial fibromatosis [Dupuytren] (M72.0)
- tendinitis NOS (M77.9-)
- xanthomatosis localized to tendons (E78.2)
Medicare LCD Coverage for M67
Local Coverage Determinations (LCDs) from CMS MACs that list M67 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M67.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M67 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M67
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To M67
Other codes in section M65-M67 (Disorders of synovium and tendon).
ICD-10 M67, Billing FAQ
Is ICD-10 code M67 billable? +
No, M67 is a non-billable header code. Use a more specific child code from block M67 when submitting claims.
What codes are Type 1 Excludes for M67? +
Type 1 Excludes (never code together with M67): palmar fascial fibromatosis [Dupuytren] (M72.0); tendinitis NOS (M77.9-); xanthomatosis localized to tendons (E78.2)
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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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