M51.45
M51.45: Schmorl's nodes, thoracolumbar region
Billable / specific codeICD-10-CM
M51.45 is a billable, specific ICD-10-CM code for schmorl's nodes, thoracolumbar region. It is valid for submission on a claim.
Check M51.45 with the rest of the claim: free scrubberOther codes that can never be billed with M51.45
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
M51.45 is named in 16 Medicare coverage policies: 9 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
- Schmorl's disease or nodes›thoracolumbar region
Code history
Unchanged in every release from FY2024 to FY2027.