M46.33

M46.33: Infection of intervertebral disc (pyogenic), cervicothoracic region

Billable / specific codeICD-10-CM

M46.33 is a billable, specific ICD-10-CM code for infection of intervertebral disc (pyogenic), cervicothoracic region. It is valid for submission on a claim.

Check M46.33 with the rest of the claim: free scrubber

Other codes that can never be billed with M46.33

Their own Excludes1 notes name this code, so the conflict is not listed above.

G55Nerve root and plexus compressions in diseases classified elsewhere

Risk adjustment

M46.33 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

M46.33 is named in 15 Medicare coverage policies: 8 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

Infection, infected, infective›intervertebral disc, pyogenic›cervicothoracic region

Code history

Unchanged in every release from FY2024 to FY2027.