ICD-10-CM M67.5 is the diagnosis code for Plica syndrome. This code falls under the section "Disorders of synovium and tendon" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Understanding where M67.5 sits in the ICD-10-CM classification helps ensure proper coding:
No, M67.5 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
M67.5 is the ICD-10-CM diagnosis code for "Plica syndrome". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of M67.5 is M67 ("Other disorders of synovium and tendon"). M67.5 provides a more specific classification within this category.
M67.5 is located in Section M65-M67 — "Disorders of synovium and tendon" within Chapter 13 of the ICD-10-CM Tabular List.
M67.5 has 3 sub-code(s) that provide more specific detail: M67.50, M67.51, M67.52.
Use M67.5 when the patients documented diagnosis matches "Plica syndrome" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Plica syndrome is M67.5.
No, M67.5 is non-billable. Use a more specific sub-code for primary diagnosis billing.
M67.5 is in Chapter 13 of the ICD-10-CM Tabular List.
Yes, M67.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.