Is M67.942 a billable ICD-10-CM code?

Yes. M67.942 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M67.942 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of synovium and tendon (M65-M67).

What cannot be coded together with M67.942?

M67.942 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M67.942 (M67) and apply to it just the same.

M67.942

M67.942 — Unspecified disorder of synovium and tendon, left hand

Billable / specific codeICD-10-CMleft

M67.942 is a billable, specific ICD-10-CM code for unspecified disorder of synovium and tendon, left hand. It is valid for submission on a claim.

Excludes1 inherited from the categories above M67.942

These are not written on M67.942, but they bind it: a note on a category applies to every code beneath it. Billing M67.942 with anything listed here is a denial.

Written on M67 — Other disorders of synovium and tendon

palmar fascial fibromatosis [Dupuytren] (M72.0)
tendinitis NOS (M77.9-)
xanthomatosis localized to tendons (E78.2)

Risk adjustment

M67.942 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

M67.942 is named in 10 Medicare coverage policies — 3 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered

Code history

M67.942 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M67.94. If M67.942 is not quite right, the correct code is usually one of these.

Questions about M67.942

Is M67.942 a billable ICD-10-CM code?: Yes. M67.942 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M67.942 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of synovium and tendon (M65-M67).
What cannot be coded together with M67.942?: M67.942 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M67.942 (M67) and apply to it just the same.