M46.0
M46.0 — Spinal enthesopathy
Non-billable headerICD-10-CM
M46.0 is a non-billable header ICD-10-CM code for spinal enthesopathy. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Disorder of ligamentous or muscular attachments of spine
Risk adjustment
M46.0 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.
Code to one of these instead M46.0
10 child codes. Green means billable.
- M46.00Spinal enthesopathy, site unspecified
- M46.01Spinal enthesopathy, occipito-atlanto-axial region
- M46.02Spinal enthesopathy, cervical region
- M46.03Spinal enthesopathy, cervicothoracic region
- M46.04Spinal enthesopathy, thoracic region
- M46.05Spinal enthesopathy, thoracolumbar region
- M46.06Spinal enthesopathy, lumbar region
- M46.07Spinal enthesopathy, lumbosacral region
- M46.08Spinal enthesopathy, sacral and sacrococcygeal region
- M46.09Spinal enthesopathy, multiple sites in spine
Related codes at this level
Codes that share M46. If M46.0 is not quite right, the correct code is usually one of these.
Questions about M46.0
- Is M46.0 a billable ICD-10-CM code?
- No. M46.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M46.0 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).