M47.25
M47.25: Other spondylosis with radiculopathy, thoracolumbar region
Billable / specific codeICD-10-CM
M47.25 is a billable, specific ICD-10-CM code for other spondylosis with radiculopathy, thoracolumbar region. It is valid for submission on a claim.
Check M47.25 with the rest of the claim: free scrubberOther codes that can never be billed with M47.25
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G54Nerve root and plexus disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M47.25 is named in 33 Medicare coverage policies: 26 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
- Spondylosis›with›radiculopathy›thoracolumbar region
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M47.2
- M47.20Other spondylosis with radiculopathy, site unspecified
- 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
- M47.26Other spondylosis with radiculopathy, lumbar region
- M47.27Other spondylosis with radiculopathy, lumbosacral region
- M47.28Other spondylosis with radiculopathy, sacral and sacrococcygeal region