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

ICD-10 M72.2

Billable / Specific

Plantar fascial fibromatosis

M72
Block
1
Synonyms
210
LCDs
15
Payer Policies
1
Linked CPTs

About ICD-10-CM M72.2

ICD-10-CM code M72.2 represents Plantar fascial fibromatosis. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M72). The 2026 edition of ICD-10-CM M72.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under M72.2. Per CMS ICD-10-CM Tabular 2026.

  • Plantar fasciitis

Medicare LCD Coverage for M72.2

Local Coverage Determinations (LCDs) from CMS MACs that list M72.2 as a covered diagnosis.

210 LCDs

Showing top 10 of 210 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 M72.2.

15 policies

3 Cigna

Orthotic Devices and Shoes - (0543)
Policy ID: MM_0543
Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525
Strapping and Taping - (CPG143)
Policy ID: CPG143_STRAPPING_TAPING

5 Medicare

Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article
Policy ID: ART-52457
Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Policy ID: ART-52863
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nonvascular Extremity Ultrasound
Policy ID: ART-56787

4 Aetna

Plantar Fasciitis Treatments
Policy ID: CPB-0235
Foot Orthotics
Policy ID: CPB-0451
Radiation Treatment for Selected Nononcologic Indications
Policy ID: CPB-0551
Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)
Policy ID: CPB-0565

CPT Codes Commonly Billed with M72.2

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

1 linkages
  • 97035 Ultrasound therapy — myalgia, spasm, back pain, neck pain, joint pain, impingement, epicondylitis, plantar fasciitis Physical Therapy

Convert M72.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M72.2 72871 00000

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

ICD-10 M72.2, Billing FAQ

Is ICD-10 code M72.2 billable? +

Yes, M72.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to M72.2? +

ICD-10 M72.2 includes: Plantar fasciitis.

What CPT codes are commonly billed with M72.2? +

Procedures frequently paired with M72.2 include: 97035.

What ICD-9 codes does M72.2 map to? +

Per CMS GEMs, M72.2 maps to ICD-9 codes: 72871. 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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