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

ICD-10 M79.2

Billable / Specific

Neuralgia and neuritis, unspecified

M79
Block
0
Synonyms
480
LCDs
21
Payer Policies
5
Linked CPTs

About ICD-10-CM M79.2

ICD-10-CM code M79.2 represents Neuralgia and neuritis, unspecified. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M79). The 2026 edition of ICD-10-CM M79.2 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with M79.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • brachial radiculitis NOS (M54.1)
  • lumbosacral radiculitis NOS (M54.1)
  • mononeuropathies (G56-G58)
  • radiculitis NOS (M54.1)
  • sciatica (M54.3-M54.4)

Medicare LCD Coverage for M79.2

Local Coverage Determinations (LCDs) from CMS MACs that list M79.2 as a covered diagnosis.

480 LCDs

Showing top 10 of 480 total . Click a CPT for full coverage scope.

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 →
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 95910 →
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 95870 →
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 95860 →
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 95913 →
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 95869 →
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 G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M79.2.

21 policies

2 Aetna

Peripheral Electrical Nerve Stimulation for Pain - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0011
Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) of the Spine
Policy ID: CPB-0236

2 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001

CPT Codes Commonly Billed with M79.2

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

5 linkages
  • 20526 Injection of joint or bursa for pain relief Pain Medicine
  • 20520 Arthrocentesis, aspiration, and/or injection of joint or bursa Pain Medicine
  • 20525 Injection of joint or bursa for pain relief, with fluoroscopic guidance Pain Medicine
  • 20600 Arthrocentesis, aspiration, and/or injection of joint or bursa, with ultrasound guidance Pain Medicine
  • 20610 Injection of joint or bursa for pain relief, with CT guidance Pain Medicine

Convert M79.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M79.2 7292 10000

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

ICD-10 M79.2, Billing FAQ

Is ICD-10 code M79.2 billable? +

Yes, M79.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for M79.2? +

Type 1 Excludes (never code together with M79.2): brachial radiculitis NOS (M54.1); lumbosacral radiculitis NOS (M54.1); mononeuropathies (G56-G58)

What CPT codes are commonly billed with M79.2? +

Procedures frequently paired with M79.2 include: 20526, 20520, 20525, 20600, 20610.

What ICD-9 codes does M79.2 map to? +

Per CMS GEMs, M79.2 maps to ICD-9 codes: 7292. 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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