Spinal osteochondrosis
In Deforming dorsopathies (M40-M43), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
21 billable codes under M42: none are a CC or MCC; none map to an HCC.
Advertisements
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers site and laterality, acute injury versus chronic musculoskeletal conditions, 7th characters for pathologic fractures, osteoporosis with or without current fracture, and multisystem inflammatory syndrome.
- Site and laterality (page 60)
- Acute traumatic versus chronic or recurrent musculoskeletal conditions (page 61)
- Coding of Pathologic Fractures (page 61)
- Osteoporosis (page 61)
- Multisystem Inflammatory Syndrome (page 62)
All codes under M42
M42 can't be used on a claim. Pick a billable code below; grey headings group them.
- M42.0Juvenile osteochondrosis of spine
- M42.00Juvenile osteochondrosis of spine, site unspecified
- M42.01Juvenile osteochondrosis of spine, occipito-atlanto-axial region
- M42.02Juvenile osteochondrosis of spine, cervical region
- M42.03Juvenile osteochondrosis of spine, cervicothoracic region
- M42.04Juvenile osteochondrosis of spine, thoracic region
- M42.05Juvenile osteochondrosis of spine, thoracolumbar region
- M42.06Juvenile osteochondrosis of spine, lumbar region
- M42.07Juvenile osteochondrosis of spine, lumbosacral region
- M42.08Juvenile osteochondrosis of spine, sacral and sacrococcygeal region
- M42.09Juvenile osteochondrosis of spine, multiple sites in spine
- M42.1Adult osteochondrosis of spine
- M42.10Adult osteochondrosis of spine, site unspecified
- M42.11Adult osteochondrosis of spine, occipito-atlanto-axial region
- M42.12Adult osteochondrosis of spine, cervical region
- M42.13Adult osteochondrosis of spine, cervicothoracic region
- M42.14Adult osteochondrosis of spine, thoracic region
- M42.15Adult osteochondrosis of spine, thoracolumbar region
- M42.16Adult osteochondrosis of spine, lumbar region
- M42.17Adult osteochondrosis of spine, lumbosacral region
- M42.18Adult osteochondrosis of spine, sacral and sacrococcygeal region
- M42.19Adult osteochondrosis of spine, multiple sites in spine
- M42.9Spinal osteochondrosis, unspecified
M42 MS-DRGs
As the principal diagnosis, the billable codes under M42 group to MS-DRG 553, 554, 456, 457, or 458 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 553 Bone Diseases and Arthropathies with MCC (21 of 21 codes)
- DRG 554 Bone Diseases and Arthropathies without MCC (21 of 21 codes)
- DRG 456 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCC (7 of 21 codes)
- DRG 457 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CC (7 of 21 codes)
- DRG 458 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCC (7 of 21 codes)
Other codes that refer to M42
Notes on these codes point to M42.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Spine Injuries and Disorders
Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include:
Read more about spine injuries and disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.