M45.AB — Non-radiographic axial spondyloarthritis of multiple sites in spine
M45.AB is a billable, specific ICD-10-CM code for non-radiographic axial spondyloarthritis of multiple sites in spine. It is valid for submission on a claim.
Risk adjustment
M45.AB risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 93 Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders0.617 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
M45.AB is named in 10 Medicare coverage policies — 4 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M45.AB 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 M45.AB.
- Spondyloarthritis›axial›non-radiographic›multiple sites
Related codes at this level
Codes that share M45.A. If M45.AB is not quite right, the correct code is usually one of these.
- M45.A0Non-radiographic axial spondyloarthritis of unspecified sites in spine
- M45.A1Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region
- M45.A2Non-radiographic axial spondyloarthritis of cervical region
- M45.A3Non-radiographic axial spondyloarthritis of cervicothoracic region
- M45.A4Non-radiographic axial spondyloarthritis of thoracic region
- M45.A5Non-radiographic axial spondyloarthritis of thoracolumbar region
- M45.A6Non-radiographic axial spondyloarthritis of lumbar region
- M45.A7Non-radiographic axial spondyloarthritis of lumbosacral region
- M45.A8Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region
Questions about M45.AB
- Is M45.AB a billable ICD-10-CM code?
- Yes. M45.AB is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M45.AB sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).