2026 ICD-10-CM Diagnosis Code M51.A5Intervertebral annulus fibrosus defect, large, lumbosacral region
ICD-10-CM Codes›M00–M99›M50-M54›M51
- Billable — Valid for Submission
- Chronic Condition
M51.A5 is a billable ICD-10-CM diagnosis code for intervertebral annulus fibrosus defect, large, lumbosacral region. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 551 through 552. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Low back pain and Spondylopathies/spondyloarthropathy (including infective).
Code Identity
Code Classification
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- intervertebral annular fibrosis - See Also: Disease, intervertebral disc, by site; - M51.9
- lumbosacral - M51.A3
- large - M51.A5
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Defect, defective
- intervertebral annular fibrosis
- lumbosacral
- large
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 History & ChangesHistory
Replacement M51.A5 replaces the following previously assigned code(s):
- M51.87 - Other intervertebral disc disorders, lumbosacral region
Questions About M51.A5Overview
Is M51.A5 (Other lumbar and lumbosacral annulus fibrosus disc defects) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report intervertebral annulus fibrosus defect, large, lumbosacral region on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M51.A5 group to?
When intervertebral annulus fibrosus defect, large, lumbosacral region is the principal diagnosis on an inpatient stay, it groups to MS-DRG 551, 552, with relative weights from 0.9613 to 1.6761 depending on complications. Higher weights mean higher Medicare reimbursement.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
