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

ICD-10 M71.20

Billable / Specific

Synovial cyst of popliteal space [Baker], unspecified knee

M71
Block
0
Synonyms
0
LCDs
1
Payer Policies
1
Linked CPTs

About ICD-10-CM M71.20

ICD-10-CM code M71.20 represents Synovial cyst of popliteal space [Baker], unspecified knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M71). The 2026 edition of ICD-10-CM M71.20 became effective on October 1, 2025.

Medicare LCD Coverage for M71.20

Local Coverage Determinations (LCDs) from CMS MACs that list M71.20 as a covered diagnosis.

No Medicare LCDs reference M71.20 as covered

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 M71.20.

1 policies

1 Cigna

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

CPT Codes Commonly Billed with M71.20

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

1 linkages
  • 20610 Joint injection major — knee OA, hip OA, shoulder OA, shoulder impingement, joint pain, meniscal derangement, synovitis, bursitis Orthopedics

Convert M71.20 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M71.20 72751 10000

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

ICD-10 M71.20, Billing FAQ

Is ICD-10 code M71.20 billable? +

Yes, M71.20 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 M71.20? +

Procedures frequently paired with M71.20 include: 20610.

What ICD-9 codes does M71.20 map to? +

Per CMS GEMs, M71.20 maps to ICD-9 codes: 72751. 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 June 1, 2026.

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