2027 ICD-10-CM Diagnosis Code M43Other deforming dorsopathies
M43 is a non-billable ICD-10-CM category code for other deforming dorsopathies, so it cannot be submitted on claims. Use a more specific code from this category instead, such as M43.00, M43.01, M43.02, and M43.03.
Code Identity
Code Classification
Specific Coding for Other deforming dorsopathiesOverview
Non-specific codes like M43 require more characters. Use one of these billable codes instead:
M43.0 for Spondylolysis
Use M43.00 for Spondylolysis, site unspecified
Use M43.01 for Spondylolysis, occipito-atlanto-axial region
Use M43.02 for Spondylolysis, cervical region
Use M43.03 for Spondylolysis, cervicothoracic region
Use M43.04 for Spondylolysis, thoracic region
Use M43.05 for Spondylolysis, thoracolumbar region
Use M43.06 for Spondylolysis, lumbar region
Use M43.07 for Spondylolysis, lumbosacral region
Use M43.08 for Spondylolysis, sacral and sacrococcygeal region
Use M43.09 for Spondylolysis, multiple sites in spine
M43.1 for Spondylolisthesis
Use M43.10 for Spondylolisthesis, site unspecified
Use M43.11 for Spondylolisthesis, occipito-atlanto-axial region
Use M43.12 for Spondylolisthesis, cervical region
Use M43.13 for Spondylolisthesis, cervicothoracic region
Use M43.14 for Spondylolisthesis, thoracic region
Use M43.15 for Spondylolisthesis, thoracolumbar region
Use M43.16 for Spondylolisthesis, lumbar region
Use M43.17 for Spondylolisthesis, lumbosacral region
Use M43.18 for Spondylolisthesis, sacral and sacrococcygeal region
Use M43.19 for Spondylolisthesis, multiple sites in spine
M43.2 for Fusion of spine
Use M43.20 for Fusion of spine, site unspecified
Use M43.21 for Fusion of spine, occipito-atlanto-axial region
Use M43.22 for Fusion of spine, cervical region
Use M43.23 for Fusion of spine, cervicothoracic region
Use M43.24 for Fusion of spine, thoracic region
Use M43.25 for Fusion of spine, thoracolumbar region
Use M43.26 for Fusion of spine, lumbar region
Use M43.27 for Fusion of spine, lumbosacral region
Use M43.28 for Fusion of spine, sacral and sacrococcygeal region
Use M43.3 for Recurrent atlantoaxial dislocation with myelopathy
Use M43.4 for Other recurrent atlantoaxial dislocation
M43.5 for Other recurrent vertebral dislocation
M43.5X for Other recurrent vertebral dislocation
Use M43.6 for Torticollis
M43.8 for Other specified deforming dorsopathies
M43.8X for Other specified deforming dorsopathies
Use M43.9 for Deforming dorsopathy, unspecified
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M43: its own notes plus those printed at Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- congenital spondylolysis and spondylolisthesis (Q76.2)
- hemivertebra (Q76.3-Q76.4)
- Klippel-Feil syndrome (Q76.1)
- lumbarization and sacralization (Q76.4)
- platyspondylisis (Q76.4)
- spina bifida occulta (Q76.0)
- spinal curvature in osteoporosis (M80.-)
- spinal curvature in Paget's disease of bone [osteitis deformans] (M88.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may 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)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Patient EducationClinical
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 the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About M43Overview
What is the ICD-10 code for other deforming dorsopathies?
M43 is the ICD-10-CM category for other deforming dorsopathies, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is M43 (Other deforming dorsopathies) a billable code?
No. This is a category header that groups the codes for other deforming dorsopathies, and headers cannot be submitted on claims. Claims for other deforming dorsopathies need a more specific code from this category, such as M43.00, M43.01, and M43.02.
Can M43 be reported with Q76.2?
Not as a rule. The Excludes1 note on M43 lists "congenital spondylolysis and spondylolisthesis (Q76.2)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).