Is M43.8 a billable ICD-10-CM code?

No. M43.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M43.8 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Deforming dorsopathies (M40-M43).

M43.8

M43.8 — Other specified deforming dorsopathies

Non-billable headerICD-10-CM

M43.8 is a non-billable header ICD-10-CM code for other specified deforming dorsopathies. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

kyphosis and lordosis (M40.-)
scoliosis (M41.-)

Risk adjustment

M43.8 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How M43.8 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M43.8.

Angulation›sacrum(acquired)

Code to one of these instead M43.8

1 child code. Green means billable.

M43.8XOther specified deforming dorsopathies

Related codes at this level

Codes that share M43. If M43.8 is not quite right, the correct code is usually one of these.

Questions about M43.8

Is M43.8 a billable ICD-10-CM code?: No. M43.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M43.8 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Deforming dorsopathies (M40-M43).