M48.061
M48.061: Spinal stenosis, lumbar region without neurogenic claudication
Billable / specific codeICD-10-CM
M48.061 is a billable, specific ICD-10-CM code for spinal stenosis, lumbar region without neurogenic claudication. It is valid for submission on a claim.
Check M48.061 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Spinal stenosis, lumbar region NOS
Other codes that can never be billed with M48.061
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G55Nerve root and plexus compressions in diseases classified elsewhere
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M48.061 is named in 34 Medicare coverage policies: 22 listing it as supporting medical necessity, and 12 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57701Billing and Coding: Trigger Point Injections (TPI)not covered
- 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
Alphabetic index entries that lead here
- Stenosis, stenotic›spinal›lumbar region(NOS) (without neurogenic claudication)
Code history
Unchanged in every release from FY2024 to FY2027.