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

ICD-10 M70.72

Billable / Specific

Other bursitis of hip, left hip

M70
Block
0
Synonyms
134
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM M70.72

ICD-10-CM code M70.72 represents Other bursitis of hip, left hip. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M70). The 2026 edition of ICD-10-CM M70.72 became effective on October 1, 2025.

Medicare LCD Coverage for M70.72

Local Coverage Determinations (LCDs) from CMS MACs that list M70.72 as a covered diagnosis.

134 LCDs

Showing top 10 of 134 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: Injection of Trigger Points
Article ID: 57114, Effective: 2026-01-01 00:00:00, 213 covered, 1 non-covered
CPT 20552 →
CMS LCD: Billing and Coding: Injection of Trigger Points
Article ID: 57114, Effective: 2026-01-01 00:00:00, 213 covered, 1 non-covered
CPT 20553 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64420 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M70.72.

8 policies

1 Cigna

Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

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: Nonvascular Extremity Ultrasound
Policy ID: ART-56787
Billing and Coding: Injection of Trigger Points
Policy ID: ART-57114
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57452

CPT Codes Commonly Billed with M70.72

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

No procedure linkages on file for M70.72

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 M70.72 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M70.72 7265 10000

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

ICD-10 M70.72, Billing FAQ

Is ICD-10 code M70.72 billable? +

Yes, M70.72 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M70.72 map to? +

Per CMS GEMs, M70.72 maps to ICD-9 codes: 7265. 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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