M48.37 — Traumatic spondylopathy, lumbosacral region
M48.37 is a billable, specific ICD-10-CM code for traumatic spondylopathy, lumbosacral region. It is valid for submission on a claim.
Risk adjustment
M48.37 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
M48.37 is named in 21 Medicare coverage policies — 15 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 M48.37 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 M48.37.
- Spondylopathy›traumatic›lumbosacral region
Related codes at this level
Codes that share M48.3. If M48.37 is not quite right, the correct code is usually one of these.
- M48.30Traumatic spondylopathy, site unspecified
- M48.31Traumatic spondylopathy, occipito-atlanto-axial region
- M48.32Traumatic spondylopathy, cervical region
- M48.33Traumatic spondylopathy, cervicothoracic region
- M48.34Traumatic spondylopathy, thoracic region
- M48.35Traumatic spondylopathy, thoracolumbar region
- M48.36Traumatic spondylopathy, lumbar region
- M48.38Traumatic spondylopathy, sacral and sacrococcygeal region
Questions about M48.37
- Is M48.37 a billable ICD-10-CM code?
- Yes. M48.37 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M48.37 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).