M67.4 — Ganglion
Is M67.4 billable?
No — M67.4 is a non-billable header code. M67.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 24 billable codes beneath M67.4.
Billable codes under this header
- M67.40Ganglion, unspecified site
- M67.48Ganglion, other site
- M67.49Ganglion, multiple sites
- M67.411Ganglion, right shoulder
- M67.412Ganglion, left shoulder
- M67.419Ganglion, unspecified shoulder
- M67.421Ganglion, right elbow
- M67.422Ganglion, left elbow
- M67.429Ganglion, unspecified elbow
- M67.431Ganglion, right wrist
- M67.432Ganglion, left wrist
- M67.439Ganglion, unspecified wrist
- M67.441Ganglion, right hand
- M67.442Ganglion, left hand
- M67.449Ganglion, unspecified hand
- M67.451Ganglion, right hip
- M67.452Ganglion, left hip
- M67.459Ganglion, unspecified hip
- M67.461Ganglion, right knee
- M67.462Ganglion, left knee
- M67.469Ganglion, unspecified knee
- M67.471Ganglion, right ankle and foot
- M67.472Ganglion, left ankle and foot
- M67.479Ganglion, unspecified ankle and foot
M67.4 at a glance
| Code | M67.4 |
|---|---|
| Description | Ganglion |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with M67.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- ganglion in yaws (A66.6)
Excludes2 — not included here
The conditions below are not part of M67.4, but a patient may have both at the same time. When documentation supports it, M67.4 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to M67.4.
- Ganglion of joint or tendon (sheath)
Excludes1 — never code together — inherited from M67
The conditions below can never be reported together with M67.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M67.4, but a patient may have both at the same time. When documentation supports it, M67.4 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
What codes fall under M67.4? (10)
- M67.40Ganglion, unspecified site
- M67.41Ganglion, shouldernot billable
- M67.42Ganglion, elbownot billable
- M67.43Ganglion, wristnot billable
- M67.44Ganglion, handnot billable
- M67.45Ganglion, hipnot billable
- M67.46Ganglion, kneenot billable
- M67.47Ganglion, ankle and footnot billable
- M67.48Ganglion, other site
- M67.49Ganglion, multiple sites
How long has M67.4 existed?
M67.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with M67.4?
ICD-10-CM declares these codes mutually exclusive with M67.4 — exactly one of each pair can be correct for a given encounter.
What other codes are in the M67 family? (7)
- M67.0Short Achilles tendon (acquired)not billable
- M67.2Synovial hypertrophy, not elsewhere classifiednot billable
- M67.3Transient synovitisnot billable
- M67.5Plica syndromenot billable
- M67.8Other specified disorders of synovium and tendonnot billable
- M67.9Unspecified disorder of synovium and tendonnot billable
- M67.APlantar fasciitisnot billable