Is M47.1 a billable ICD-10-CM code?

No. M47.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M47.1 sit in the tabular list?

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

What cannot be coded together with M47.1?

M47.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

M47.1

M47.1 — Other spondylosis with myelopathy

Non-billable headerICD-10-CM

M47.1 is a non-billable header ICD-10-CM code for other spondylosis with myelopathy. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

vertebral subluxation (M43.3-M43.5X9)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Spondylogenic compression of spinal cord

Other codes that can never be billed with M47.1

These codes carry an Excludes1 note pointing at M47.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M47.1 alone.

G99.2Myelopathy in diseases classified elsewhere

Risk adjustment

M47.1 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 M47.1

7 child codes. Green means billable.

Related codes at this level

Codes that share M47. If M47.1 is not quite right, the correct code is usually one of these.

Questions about M47.1

Is M47.1 a billable ICD-10-CM code?: No. M47.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M47.1 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).
What cannot be coded together with M47.1?: M47.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.