M48Not billable, use a more specific code below

Other spondylopathies

In Spondylopathies (M45-M49), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue

119 billable codes under M48: 18 are a CC; 18 map to HCC 93 (Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders), HCC 401 (Vertebral Fractures without Spinal Cord Injury).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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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.

Read Section I.C.13 (page 60)

All codes under M48

M48 can't be used on a claim. Pick a billable code below; grey headings group them.

Other codes that refer to M48

Notes on these codes point to M48.

  • G55 Excludes1: nerve root compression (due to) (in) spondylopathies (M46.-, M48.-)

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 MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.