M46.5
M46.5 — Other infective spondylopathies
Non-billable headerICD-10-CM
M46.5 is a non-billable header ICD-10-CM code for other infective spondylopathies. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M46.5 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 M46.5
10 child codes. Green means billable.
- M46.50Other infective spondylopathies, site unspecified
- M46.51Other infective spondylopathies, occipito-atlanto-axial region
- M46.52Other infective spondylopathies, cervical region
- M46.53Other infective spondylopathies, cervicothoracic region
- M46.54Other infective spondylopathies, thoracic region
- M46.55Other infective spondylopathies, thoracolumbar region
- M46.56Other infective spondylopathies, lumbar region
- M46.57Other infective spondylopathies, lumbosacral region
- M46.58Other infective spondylopathies, sacral and sacrococcygeal region
- M46.59Other infective spondylopathies, multiple sites in spine
Related codes at this level
Codes that share M46. If M46.5 is not quite right, the correct code is usually one of these.
Questions about M46.5
- Is M46.5 a billable ICD-10-CM code?
- No. M46.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M46.5 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).