Not Valid for Submission
M43.0 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of spondylolysis. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Spondylolysis
Header codes like M43.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for spondylolysis:
- M43.00 - ... site unspecified
- M43.01 - ... occipito-atlanto-axial region
- M43.02 - ... cervical region
- M43.03 - ... cervicothoracic region
- M43.04 - ... thoracic region
- M43.05 - ... thoracolumbar region
- M43.06 - ... lumbar region
- M43.07 - ... lumbosacral region
- M43.08 - ... sacral and sacrococcygeal region
- M43.09 - ... multiple sites in spine
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M43.0:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- SPONDYLOLYSIS-. deficient development or degeneration of a portion of the vertebra usually in the pars interarticularis the bone bridge between the superior and inferior facet joints of the lumbar vertebrae leading to spondylolisthesis.
Information for Patients
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
- Conditions, such as ankylosing spondylitis and scoliosis
- Bone changes that come with age, such as spinal stenosis and herniated disks
Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.
- Compression fractures of the back (Medical Encyclopedia)
- Foraminotomy (Medical Encyclopedia)
- Kyphosis (Medical Encyclopedia)
- Laminectomy (Medical Encyclopedia)
- Lordosis (Medical Encyclopedia)
- Spinal fusion (Medical Encyclopedia)
- Spine surgery - discharge (Medical Encyclopedia)
- Spondylolisthesis (Medical Encyclopedia)