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

ICD-10 M79.5

Billable / Specific

Residual foreign body in soft tissue

M79
Block
0
Synonyms
23
LCDs
3
Payer Policies
1
Linked CPTs

About ICD-10-CM M79.5

ICD-10-CM code M79.5 represents Residual foreign body in soft tissue. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M79). The 2026 edition of ICD-10-CM M79.5 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with M79.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • foreign body granuloma of skin and subcutaneous tissue (L92.3)
  • foreign body granuloma of soft tissue (M60.2-)

Medicare LCD Coverage for M79.5

Local Coverage Determinations (LCDs) from CMS MACs that list M79.5 as a covered diagnosis.

23 LCDs

Showing top 10 of 23 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound
Article ID: 56787, Effective: 2023-10-01 00:00:00, 1282 covered, 0 non-covered
CPT 76881 →
CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound
Article ID: 56787, Effective: 2023-10-01 00:00:00, 1282 covered, 0 non-covered
CPT 76882 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT 97607 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT G0329 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT 97606 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT 11044 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT 11047 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT 97610 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT 11000 →
CMS LCD: Billing and Coding: Wound Care
Article ID: 55909, Effective: 2025-10-01 00:00:00, 1362 covered, 0 non-covered
CPT 11045 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M79.5.

3 policies

1 Cigna

Head and Neck Ultrasound - (0549)
Policy ID: MM_0549

2 Medicare

Billing and Coding: Wound Care
Policy ID: ART-55909
Billing and Coding: Nonvascular Extremity Ultrasound
Policy ID: ART-56787

CPT Codes Commonly Billed with M79.5

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

1 linkages
  • 10120 Foreign body removal, subcutaneous — retained foreign body, wound complications General Surgery

Convert M79.5 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M79.5 7296 00000

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

ICD-10 M79.5, Billing FAQ

Is ICD-10 code M79.5 billable? +

Yes, M79.5 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 M79.5? +

Type 1 Excludes (never code together with M79.5): foreign body granuloma of skin and subcutaneous tissue (L92.3); foreign body granuloma of soft tissue (M60.2-)

What CPT codes are commonly billed with M79.5? +

Procedures frequently paired with M79.5 include: 10120.

What ICD-9 codes does M79.5 map to? +

Per CMS GEMs, M79.5 maps to ICD-9 codes: 7296. 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 July 16, 2026.

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