Is M47.81 a billable ICD-10-CM code?

No. M47.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M47.81 sit in the tabular list?

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

M47.81

M47.81 — Spondylosis without myelopathy or radiculopathy

Non-billable headerICD-10-CM

M47.81 is a non-billable header ICD-10-CM code for spondylosis without myelopathy or radiculopathy. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with M47.81

These codes carry an Excludes1 note pointing at M47.81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M47.81 alone.

G54Nerve root and plexus disorders

Risk adjustment

M47.81 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 history

M47.81 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead M47.81

9 child codes. Green means billable.

Related codes at this level

Codes that share M47.8. If M47.81 is not quite right, the correct code is usually one of these.

M47.89Other spondylosis

Questions about M47.81

Is M47.81 a billable ICD-10-CM code?: No. M47.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M47.81 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).