M47.897
M47.897: Other spondylosis, lumbosacral region
Billable / specific codeICD-10-CM
M47.897 is a billable, specific ICD-10-CM code for other spondylosis, lumbosacral region. It is valid for submission on a claim.
Check M47.897 with the rest of the claim: free scrubberOther codes that can never be billed with M47.897
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
M47.897 is named in 32 Medicare coverage policies: 25 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›specified NEC›lumbosacral region
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M47.89
- M47.891Other spondylosis, occipito-atlanto-axial region
- M47.892Other spondylosis, cervical region
- M47.893Other spondylosis, cervicothoracic region
- M47.894Other spondylosis, thoracic region
- M47.895Other spondylosis, thoracolumbar region
- M47.896Other spondylosis, lumbar region
- M47.898Other spondylosis, sacral and sacrococcygeal region
- M47.899Other spondylosis, site unspecified