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

ICD-10 M79.89

Billable / Specific

Other specified soft tissue disorders

M79
Block
1
Synonyms
452
LCDs
11
Payer Policies
0
Linked CPTs

About ICD-10-CM M79.89

ICD-10-CM code M79.89 represents Other specified soft tissue disorders. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M79). The 2026 edition of ICD-10-CM M79.89 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under M79.89. Per CMS ICD-10-CM Tabular 2026.

  • Polyalgia

Medicare LCD Coverage for M79.89

Local Coverage Determinations (LCDs) from CMS MACs that list M79.89 as a covered diagnosis.

452 LCDs

Showing top 10 of 452 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36010 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36832 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36245 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 75710 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36217 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36833 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36005 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36901 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 37214 →
CMS LCD: Billing and Coding: Dialysis Access Maintenance
Article ID: 56460, Effective: 2026-01-22 00:00:00, 137 covered, 0 non-covered
CPT 36247 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M79.89.

11 policies

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Dialysis Access Maintenance
Policy ID: ART-56460

CPT Codes Commonly Billed with M79.89

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

No procedure linkages on file for M79.89

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert M79.89 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M79.89 72981 10000
M79.89 72999 10000

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

ICD-10 M79.89, Billing FAQ

Is ICD-10 code M79.89 billable? +

Yes, M79.89 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to M79.89? +

ICD-10 M79.89 includes: Polyalgia.

What ICD-9 codes does M79.89 map to? +

Per CMS GEMs, M79.89 maps to ICD-9 codes: 72981, 72999. 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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