ICD-10-CM Code M43.1


Version 2020 Non-Billable Code

Not Valid for Submission

M43.1 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of spondylolisthesis. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

Short Description:Spondylolisthesis
Long Description:Spondylolisthesis

Consider the following ICD-10 codes with a higher level of specificity:

  • M43.10 - ... site unspecified
  • M43.11 - ... occipito-atlanto-axial region
  • M43.12 - ... cervical region
  • M43.13 - ... cervicothoracic region
  • M43.14 - ... thoracic region
  • M43.15 - ... thoracolumbar region
  • M43.16 - ... lumbar region
  • M43.17 - ... lumbosacral region
  • M43.18 - ... sacral and sacrococcygeal region
  • M43.19 - ... 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 M43.1:

Type 1 Excludes

Type 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.
  • acute traumatic of lumbosacral region S33.1
  • acute traumatic of sites other than lumbosacral- code to Fracture, vertebra, by region
  • congenital spondylolisthesis Q76.2

Clinical Information

  • SPONDYLOLISTHESIS-. forward displacement of a superior vertebral body over the vertebral body below.

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Deforming dorsopathies (M40-M43)
      • Other deforming dorsopathies (M43)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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

  • Infections
  • Injuries
  • Tumors
  • 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.

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