M48.062 — Spinal stenosis, lumbar region with neurogenic claudication
M48.062 is a billable, specific ICD-10-CM code for spinal stenosis, lumbar region with neurogenic claudication. It is valid for submission on a claim.
Risk adjustment
M48.062 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
M48.062 is named in 44 Medicare coverage policies — 33 listing it as supporting medical necessity, and 11 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
- 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
How M48.062 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 M48.062.
- Stenosis, stenotic›spinal›lumbar region›with neurogenic claudication
Related codes at this level
Codes that share M48.06. If M48.062 is not quite right, the correct code is usually one of these.
Questions about M48.062
- Is M48.062 a billable ICD-10-CM code?
- Yes. M48.062 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M48.062 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).