Is M46.8 a billable ICD-10-CM code?

No. M46.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M46.8 sit in the tabular list?

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

M46.8

M46.8 — Other specified inflammatory spondylopathies

Non-billable headerICD-10-CM

M46.8 is a non-billable header ICD-10-CM code for other specified inflammatory spondylopathies. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M46.8 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 M46.8

10 child codes. Green means billable.

M46.80Other specified inflammatory spondylopathies, site unspecified
M46.81Other specified inflammatory spondylopathies, occipito-atlanto-axial region
M46.82Other specified inflammatory spondylopathies, cervical region
M46.83Other specified inflammatory spondylopathies, cervicothoracic region
M46.84Other specified inflammatory spondylopathies, thoracic region
M46.85Other specified inflammatory spondylopathies, thoracolumbar region
M46.86Other specified inflammatory spondylopathies, lumbar region
M46.87Other specified inflammatory spondylopathies, lumbosacral region
M46.88Other specified inflammatory spondylopathies, sacral and sacrococcygeal region
M46.89Other specified inflammatory spondylopathies, multiple sites in spine

Related codes at this level

Codes that share M46. If M46.8 is not quite right, the correct code is usually one of these.

M46.0Spinal enthesopathy
M46.1Sacroiliitis, not elsewhere classified
M46.2Osteomyelitis of vertebra
M46.3Infection of intervertebral disc (pyogenic)
M46.4Discitis, unspecified
M46.5Other infective spondylopathies
M46.9Unspecified inflammatory spondylopathy

Questions about M46.8

Is M46.8 a billable ICD-10-CM code?: No. M46.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M46.8 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).