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

ICD-10 M77.9

Billable / Specific

Enthesopathy, unspecified

M77
Block
4
Synonyms
2
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM M77.9

ICD-10-CM code M77.9 represents Enthesopathy, unspecified. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M77). The 2026 edition of ICD-10-CM M77.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under M77.9. Per CMS ICD-10-CM Tabular 2026.

  • Bone spur NOS
  • Capsulitis NOS
  • Periarthritis NOS
  • Tendinitis NOS

Medicare LCD Coverage for M77.9

Local Coverage Determinations (LCDs) from CMS MACs that list M77.9 as a covered diagnosis.

2 LCDs

Showing top 2. Click a CPT for full coverage scope.

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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M77.9.

4 policies

3 Aetna

Continuous Passive Motion (CPM) Machines - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0010
Foot Orthotics
Policy ID: CPB-0451
Hammertoe Repair
Policy ID: CPB-0636

1 Medicare

Billing and Coding: Injection of Trigger Points
Policy ID: ART-57114

CPT Codes Commonly Billed with M77.9

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

No procedure linkages on file for M77.9

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 M77.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M77.9 72690 00000

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

ICD-10 M77.9, Billing FAQ

Is ICD-10 code M77.9 billable? +

Yes, M77.9 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 M77.9? +

ICD-10 M77.9 includes: Bone spur NOS; Capsulitis NOS; Periarthritis NOS, and 1 more clinical synonyms.

What ICD-9 codes does M77.9 map to? +

Per CMS GEMs, M77.9 maps to ICD-9 codes: 72690. 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 2, 2026.

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