Is M46.27 a billable ICD-10-CM code?

Yes. M46.27 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M46.27 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).

M46.27

M46.27 — Osteomyelitis of vertebra, lumbosacral region

Billable / specific codeICD-10-CM

M46.27 is a billable, specific ICD-10-CM code for osteomyelitis of vertebra, lumbosacral region. It is valid for submission on a claim.

Other codes that can never be billed with M46.27

These codes carry an Excludes1 note pointing at M46.27. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M46.27 alone.

G55Nerve root and plexus compressions in diseases classified elsewhere

Risk adjustment

M46.27 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis0.479 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

M46.27 is named in 10 Medicare coverage policies — 3 listing it as supporting medical necessity, and 7 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
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

How M46.27 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 M46.27.

Osteomyelitis›vertebra›lumbosacral region

Code history

M46.27 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M46.2. If M46.27 is not quite right, the correct code is usually one of these.

Questions about M46.27

Is M46.27 a billable ICD-10-CM code?: Yes. M46.27 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M46.27 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).