M51
M51 — Thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders
Non-billable headerICD-10-CM
M51 is a non-billable header ICD-10-CM code for thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with M51
These codes carry an Excludes1 note pointing at M51. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M51 alone.
- M54.1Radiculopathy
- M54.3Sciatica
- M54.4Lumbago with sciatica
- M54.5Low back pain
- M54.6Pain in thoracic spine
- S23.0Traumatic rupture of thoracic intervertebral disc
- S23.0XXATraumatic rupture of thoracic intervertebral disc, initial encounter
- S23.0XXDTraumatic rupture of thoracic intervertebral disc, subsequent encounter
Risk adjustment
M51 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 M51
8 child codes. Green means billable.
- M51.0Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with myelopathy
- M51.1Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
- M51.2Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement
- M51.3Other thoracic, thoracolumbar and lumbosacral intervertebral disc degeneration
- M51.4Schmorl's nodes
- M51.8Other thoracic, thoracolumbar and lumbosacral intervertebral disc disorders
- M51.9Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder
- M51.AOther lumbar and lumbosacral annulus fibrosus disc defects
Questions about M51
- Is M51 a billable ICD-10-CM code?
- No. M51 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M51 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other dorsopathies (M50-M54).