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

ICD-10 M71.38

Billable / Specific

Other bursal cyst, other site

M71
Block
0
Synonyms
266
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM M71.38

ICD-10-CM code M71.38 represents Other bursal cyst, other site. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M71). The 2026 edition of ICD-10-CM M71.38 became effective on October 1, 2025.

Medicare LCD Coverage for M71.38

Local Coverage Determinations (LCDs) from CMS MACs that list M71.38 as a covered diagnosis.

266 LCDs

Showing top 10 of 266 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 0213T →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 0218T →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 64491 →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 64633 →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 0222T →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 0219T →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 0220T →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 64495 →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 0215T →
CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management
Article ID: 56670, Effective: 2026-01-05 00:00:00, 20 covered, 1 non-covered
CPT 64634 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M71.38.

6 policies

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Facet Joint Interventions for Pain Management
Policy ID: ART-56670
Billing and Coding: Nonvascular Extremity Ultrasound
Policy ID: ART-56787

CPT Codes Commonly Billed with M71.38

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

No procedure linkages on file for M71.38

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 M71.38 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M71.38 72749 10000

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

ICD-10 M71.38, Billing FAQ

Is ICD-10 code M71.38 billable? +

Yes, M71.38 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M71.38 map to? +

Per CMS GEMs, M71.38 maps to ICD-9 codes: 72749. 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 July 16, 2026.

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