M43.3
M43.3: Recurrent atlantoaxial dislocation with myelopathy
Billable / specific codeICD-10-CM
M43.3 is a billable, specific ICD-10-CM code for recurrent atlantoaxial dislocation with myelopathy. It is valid for submission on a claim.
Check M43.3 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M43.3
A category’s note binds every code beneath it.
Written on M43: Other deforming dorsopathies
- congenital spondylolysis and spondylolisthesis (Q76.2)
- hemivertebra (Q76.3-Q76.4)
- Klippel-Feil syndrome (Q76.1)
- lumbarization and sacralization (Q76.4)
- platyspondylisis (Q76.4)
- spina bifida occulta (Q76.0)
- spinal curvature in osteoporosis (M80.-)
- spinal curvature in Paget's disease of bone [osteitis deformans] (M88.-)
Other codes that can never be billed with M43.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M47.1Other spondylosis with myelopathy
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M43.3 is named in 12 Medicare coverage policies: 5 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
- Subluxation›atlantoaxial, recurrent›with myelopathy
- Dislocation›recurrent›vertebra›atlantoaxial›with myelopathy
Code history
Unchanged in every release from FY2024 to FY2027.