M47.20 — Other spondylosis with radiculopathy, site unspecified
M47.20 is a billable, specific ICD-10-CM code for other spondylosis with radiculopathy, site unspecified. It is valid for submission on a claim.
Risk adjustment
M47.20 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.
Medicare coverage
M47.20 is named in 7 Medicare coverage policies — 1 listing it as supporting medical necessity, and 6 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
- 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M47.20 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 M47.20.
- Spondylosis›with›radiculopathy
Related codes at this level
Codes that share M47.2. If M47.20 is not quite right, the correct code is usually one of these.
- M47.21Other spondylosis with radiculopathy, occipito-atlanto-axial region
- M47.22Other spondylosis with radiculopathy, cervical region
- M47.23Other spondylosis with radiculopathy, cervicothoracic region
- M47.24Other spondylosis with radiculopathy, thoracic region
- M47.25Other spondylosis with radiculopathy, thoracolumbar region
- M47.26Other spondylosis with radiculopathy, lumbar region
- M47.27Other spondylosis with radiculopathy, lumbosacral region
- M47.28Other spondylosis with radiculopathy, sacral and sacrococcygeal region
Questions about M47.20
- Is M47.20 a billable ICD-10-CM code?
- Yes. M47.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M47.20 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).