M51.15
M51.15: Intervertebral disc disorders with radiculopathy, thoracolumbar region
Billable / specific codeICD-10-CM
M51.15 is a billable, specific ICD-10-CM code for intervertebral disc disorders with radiculopathy, thoracolumbar region. It is valid for submission on a claim.
Check M51.15 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M51.15
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M51.15
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with M51.15
Their own Excludes1 notes name this code, so the conflict is not listed above.
- 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
- S23.0XXSTraumatic rupture of thoracic intervertebral disc, sequela
- S33Dislocation and sprain of joints and ligaments of lumbar spine and pelvis
- S33.0Traumatic rupture of lumbar intervertebral disc
- S33.0XXATraumatic rupture of lumbar intervertebral disc, initial encounter
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M51.15 is named in 44 Medicare coverage policies: 37 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Disease, diseased›intervertebral disc›thoracolumbar›neuritis, radiculitis or radiculopathy
- Degeneration, degenerative›intervertebral disc›thoracolumbar region›with›neuritis, radiculitis, radiculopathy
- Disorder›disc›with›radiculopathy›thoracolumbar region
- Displacement, displaced›intervertebral disc NEC›thoracolumbar region›with›neuritis, radiculitis, radiculopathy
Code history
Unchanged in every release from FY2024 to FY2027.