M51.A0
M51.A0: Intervertebral annulus fibrosus defect, lumbar region, unspecified size
Billable / specific codeICD-10-CM
M51.A0 is a billable, specific ICD-10-CM code for intervertebral annulus fibrosus defect, lumbar region, unspecified size. It is valid for submission on a claim.
Check M51.A0 with the rest of the claim: free scrubberCode first
The underlying condition must be sequenced before this code.
Other codes that can never be billed with M51.A0
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.A0 is named in 7 Medicare coverage policies: 0 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
- Defect, defective›intervertebral annular fibrosis›lumbar
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M51.A
- M51.A1Intervertebral annulus fibrosus defect, small, lumbar region
- M51.A2Intervertebral annulus fibrosus defect, large, lumbar region
- M51.A3Intervertebral annulus fibrosus defect, lumbosacral region, unspecified size
- M51.A4Intervertebral annulus fibrosus defect, small, lumbosacral region
- M51.A5Intervertebral annulus fibrosus defect, large, lumbosacral region