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

ICD-10 M79.11

Billable / Specific

Myalgia of mastication muscle

M79
Block
0
Synonyms
449
LCDs
29
Payer Policies
3
Linked CPTs

About ICD-10-CM M79.11

ICD-10-CM code M79.11 represents Myalgia of mastication muscle. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M79). The 2026 edition of ICD-10-CM M79.11 became effective on October 1, 2025.

Medicare LCD Coverage for M79.11

Local Coverage Determinations (LCDs) from CMS MACs that list M79.11 as a covered diagnosis.

449 LCDs

Showing top 10 of 449 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: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98942 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98940 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98941 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98943 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M79.11.

29 policies

2 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
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: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001

CPT Codes Commonly Billed with M79.11

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

3 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
  • M0076 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD

ICD-10 M79.11, Billing FAQ

Is ICD-10 code M79.11 billable? +

Yes, M79.11 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 M79.11? +

Procedures frequently paired with M79.11 include: 20552, 20553, M0076.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included