M47.819 — Spondylosis without myelopathy or radiculopathy, site unspecified
M47.819 is a billable, specific ICD-10-CM code for spondylosis without myelopathy or radiculopathy, site unspecified. It is valid for submission on a claim.
Risk adjustment
M47.819 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
M47.819 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 M47.819 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 M47.819.
- Arthritis, arthritic›facet joint
- Arthropathy›facet joint
- Hypertrophy, hypertrophic›facet joint
- Spondylosis›without myelopathy or radiculopathy
- Syndrome›facet joint
- Disease, diseased›joint›facet joint
- Spondylosis›specified NEC›facet joint
Related codes at this level
Codes that share M47.81. If M47.819 is not quite right, the correct code is usually one of these.
- M47.811Spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region
- M47.812Spondylosis without myelopathy or radiculopathy, cervical region
- M47.813Spondylosis without myelopathy or radiculopathy, cervicothoracic region
- M47.814Spondylosis without myelopathy or radiculopathy, thoracic region
- M47.815Spondylosis without myelopathy or radiculopathy, thoracolumbar region
- M47.816Spondylosis without myelopathy or radiculopathy, lumbar region
- M47.817Spondylosis without myelopathy or radiculopathy, lumbosacral region
- M47.818Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region
Questions about M47.819
- Is M47.819 a billable ICD-10-CM code?
- Yes. M47.819 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M47.819 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).