ICD-10 M81.6
Billable / SpecificLocalized osteoporosis [Lequesne]
About ICD-10-CM M81.6
ICD-10-CM code M81.6 represents Localized osteoporosis [Lequesne]. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M81). The 2026 edition of ICD-10-CM M81.6 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with M81.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- Sudeck's atrophy (M89.0)
Medicare LCD Coverage for M81.6
Local Coverage Determinations (LCDs) from CMS MACs that list M81.6 as a covered diagnosis.
Showing top 10 of 63 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M81.6.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with M81.6
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 M81.6 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M81.6 | 73309 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M81.6
Other codes in section M80-M85 (Disorders of bone density and structure).
ICD-10 M81.6, Billing FAQ
Is ICD-10 code M81.6 billable? +
Yes, M81.6 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 M81.6? +
Type 1 Excludes (never code together with M81.6): Sudeck's atrophy (M89.0)
What ICD-9 codes does M81.6 map to? +
Per CMS GEMs, M81.6 maps to ICD-9 codes: 73309. 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 17, 2026.
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