Ankylosing spondylitis
In Spondylopathies (M45-M49), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
20 billable codes under M45: none are a CC or MCC; all map to HCC 93 (Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders).An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
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 M45
M45 can't be used on a claim. Pick a billable code below; grey headings group them.
- M45.0Ankylosing spondylitis of multiple sites in spine
- M45.1Ankylosing spondylitis of occipito-atlanto-axial region
- M45.2Ankylosing spondylitis of cervical region
- M45.3Ankylosing spondylitis of cervicothoracic region
- M45.4Ankylosing spondylitis of thoracic region
- M45.5Ankylosing spondylitis of thoracolumbar region
- M45.6Ankylosing spondylitis lumbar region
- M45.7Ankylosing spondylitis of lumbosacral region
- M45.8Ankylosing spondylitis sacral and sacrococcygeal region
- M45.9Ankylosing spondylitis of unspecified sites in spine
- M45.ANon-radiographic axial spondyloarthritis
- M45.A0Non-radiographic axial spondyloarthritis of unspecified sites in spine
- M45.A1Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region
- M45.A2Non-radiographic axial spondyloarthritis of cervical region
- M45.A3Non-radiographic axial spondyloarthritis of cervicothoracic region
- M45.A4Non-radiographic axial spondyloarthritis of thoracic region
- M45.A5Non-radiographic axial spondyloarthritis of thoracolumbar region
- M45.A6Non-radiographic axial spondyloarthritis of lumbar region
- M45.A7Non-radiographic axial spondyloarthritis of lumbosacral region
- M45.A8Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region
- M45.ABNon-radiographic axial spondyloarthritis of multiple sites in spine
M45 MS-DRGs
As the principal diagnosis, all 20 billable codes under M45 group to MS-DRG 545, 546, or 547 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Other codes that refer to M45
Notes on these codes point to M45.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Ankylosing Spondylitis
Ankylosing spondylitis (AS) is a type of arthritis of the spine. It causes inflammation (swelling) between your vertebrae (the bones that make up your spine) and the joints between your spine and pelvis. AS inflammation can cause stiffness and make it difficult to move and bend.
Read more about ankylosing spondylitis on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.