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

ICD-10 M79.12

Billable / Specific

Myalgia of auxiliary muscles, head and neck

M79
Block
0
Synonyms
479
LCDs
31
Payer Policies
10
Linked CPTs

About ICD-10-CM M79.12

ICD-10-CM code M79.12 represents Myalgia of auxiliary muscles, head and neck. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M79). The 2026 edition of ICD-10-CM M79.12 became effective on October 1, 2025.

Medicare LCD Coverage for M79.12

Local Coverage Determinations (LCDs) from CMS MACs that list M79.12 as a covered diagnosis.

479 LCDs

Showing top 10 of 479 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 M79.12.

31 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 M79.12

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

10 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
  • J3301 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD
  • J7040 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD
  • J1010 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD
  • J3300 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD
  • J1100 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD
  • J2919 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD
  • J0702 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD

ICD-10 M79.12, Billing FAQ

Is ICD-10 code M79.12 billable? +

Yes, M79.12 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 M79.12? +

Procedures frequently paired with M79.12 include: 20552, 20553, M0076, J3301, J7040.

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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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