M42.09
M42.09: Juvenile osteochondrosis of spine, multiple sites in spine
Billable / specific codeICD-10-CM
M42.09 is a billable, specific ICD-10-CM code for juvenile osteochondrosis of spine, multiple sites in spine. It is valid for submission on a claim.
Check M42.09 with the rest of the claim: free scrubberOther codes that can never be billed with M42.09
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M40.0Postural kyphosis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M42.09 is named in 10 Medicare coverage policies: 3 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
- Osteochondrosis›juvenile, juvenilis›spine›multiple sites
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M42.0
- M42.00Juvenile osteochondrosis of spine, site unspecified
- M42.01Juvenile osteochondrosis of spine, occipito-atlanto-axial region
- M42.02Juvenile osteochondrosis of spine, cervical region
- M42.03Juvenile osteochondrosis of spine, cervicothoracic region
- M42.04Juvenile osteochondrosis of spine, thoracic region
- M42.05Juvenile osteochondrosis of spine, thoracolumbar region
- M42.06Juvenile osteochondrosis of spine, lumbar region
- M42.07Juvenile osteochondrosis of spine, lumbosacral region
- M42.08Juvenile osteochondrosis of spine, sacral and sacrococcygeal region