M48.0
M48.0 — Spinal stenosis
Non-billable headerICD-10-CM
M48.0 is a non-billable header ICD-10-CM code for spinal stenosis. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Caudal stenosis
Risk adjustment
M48.0 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 to one of these instead M48.0
9 child codes. Green means billable.
- M48.00Spinal stenosis, site unspecified
- M48.01Spinal stenosis, occipito-atlanto-axial region
- M48.02Spinal stenosis, cervical region
- M48.03Spinal stenosis, cervicothoracic region
- M48.04Spinal stenosis, thoracic region
- M48.05Spinal stenosis, thoracolumbar region
- M48.06Spinal stenosis, lumbar region
- M48.07Spinal stenosis, lumbosacral region
- M48.08Spinal stenosis, sacral and sacrococcygeal region
Related codes at this level
Codes that share M48. If M48.0 is not quite right, the correct code is usually one of these.
Questions about M48.0
- Is M48.0 a billable ICD-10-CM code?
- No. M48.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M48.0 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).