M51.370 — Other intervertebral disc degeneration, lumbosacral region with discogenic back pain only
M51.370 is a billable, specific ICD-10-CM code for other intervertebral disc degeneration, lumbosacral region with discogenic back pain only. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Other intervertebral disc degeneration, lumbosacral region with axial back pain only
Excludes2 inherited from the categories above M51.370
Also inherited, and the opposite of Excludes1: these conditions are not part of M51.370, but a patient can have both, so you may code both.
Other codes that can never be billed with M51.370
These codes carry an Excludes1 note pointing at M51.370. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M51.370 alone.
- 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
- 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
Risk adjustment
M51.370 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
M51.370 is named in 28 Medicare coverage policies — 21 listing it as supporting medical necessity, and 7 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
- 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
Code history
What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.
- addedFY2024-FY2026
Other intervertebral disc degeneration, lumbosacral region with discogenic back pain only
Related codes at this level
Codes that share M51.37. If M51.370 is not quite right, the correct code is usually one of these.
- M51.371Other intervertebral disc degeneration, lumbosacral region with lower extremity pain only
- M51.372Other intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity pain
- M51.379Other intervertebral disc degeneration, lumbosacral region without mention of lumbar back pain or lower extremity pain
Questions about M51.370
- Is M51.370 a billable ICD-10-CM code?
- Yes. M51.370 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M51.370 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other dorsopathies (M50-M54).