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

ICD-10 M79.10

Billable / Specific

Myalgia, unspecified site

M79
Block
0
Synonyms
195
LCDs
15
Payer Policies
2
Linked CPTs

About ICD-10-CM M79.10

ICD-10-CM code M79.10 represents Myalgia, unspecified site. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M79). The 2026 edition of ICD-10-CM M79.10 became effective on October 1, 2025.

Medicare LCD Coverage for M79.10

Local Coverage Determinations (LCDs) from CMS MACs that list M79.10 as a covered diagnosis.

195 LCDs

Showing top 10 of 195 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Trigger Point Injections (TPI)
Article ID: 57701, Effective: 2026-01-01 00:00:00, 10 covered, 138 non-covered
CPT 20552 →
CMS LCD: Billing and Coding: Trigger Point Injections (TPI)
Article ID: 57701, Effective: 2026-01-01 00:00:00, 10 covered, 138 non-covered
CPT 20553 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80305 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0659 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80307 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80306 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M79.10.

15 policies

2 Aetna

Back Pain - Invasive Procedures - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0016
Influenza Rapid Diagnostic Tests
Policy ID: CPB-0476

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001
Billing and Coding: Urine Drug Testing
Policy ID: ART-56818
Billing and Coding: Urine Drug Testing
Policy ID: ART-56915

CPT Codes Commonly Billed with M79.10

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

2 linkages
  • 20552 CMS LCD: Billing and Coding: Trigger Point Injections (TPI) CMS LCD
  • 20553 CMS LCD: Billing and Coding: Trigger Point Injections (TPI) CMS LCD

ICD-10 M79.10, Billing FAQ

Is ICD-10 code M79.10 billable? +

Yes, M79.10 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 M79.10? +

Procedures frequently paired with M79.10 include: 20552, 20553.

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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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