M42.10
M42.10: Adult osteochondrosis of spine, site unspecified
Billable / specific codeICD-10-CM
M42.10 is a billable, specific ICD-10-CM code for adult osteochondrosis of spine, site unspecified. It is valid for submission on a claim.
Check M42.10 with the rest of the claim: free scrubberOther codes that can never be billed with M42.10
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
M42.10 is named in 7 Medicare coverage policies: 0 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›spine›adult
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M42.1
- M42.11Adult osteochondrosis of spine, occipito-atlanto-axial region
- M42.12Adult osteochondrosis of spine, cervical region
- M42.13Adult osteochondrosis of spine, cervicothoracic region
- M42.14Adult osteochondrosis of spine, thoracic region
- M42.15Adult osteochondrosis of spine, thoracolumbar region
- M42.16Adult osteochondrosis of spine, lumbar region
- M42.17Adult osteochondrosis of spine, lumbosacral region
- M42.18Adult osteochondrosis of spine, sacral and sacrococcygeal region
- M42.19Adult osteochondrosis of spine, multiple sites in spine