M40.36
M40.36: Flatback syndrome, lumbar region
Billable / specific codeICD-10-CM
M40.36 is a billable, specific ICD-10-CM code for flatback syndrome, lumbar region. It is valid for submission on a claim.
Check M40.36 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M40.36 is named in 18 Medicare coverage policies: 11 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Flatback syndrome›lumbar region
Code history
Unchanged in every release from FY2024 to FY2027.