M99.53
M99.53: Intervertebral disc stenosis of neural canal of lumbar region
Billable / specific codeICD-10-CM
M99.53 is a billable, specific ICD-10-CM code for intervertebral disc stenosis of neural canal of lumbar region. It is valid for submission on a claim.
Check M99.53 with the rest of the claim: free scrubberOther codes that can never be billed with M99.53
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M43.5Other recurrent vertebral dislocation
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M99.53 is named in 33 Medicare coverage policies: 26 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
- Stenosis, stenotic›neural canal›intervertebral disc›lumbar region
- Stenosis, stenotic›neural canal›intervertebral disc›lumbosacral
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M99.5
- M99.50Intervertebral disc stenosis of neural canal of head region
- M99.51Intervertebral disc stenosis of neural canal of cervical region
- M99.52Intervertebral disc stenosis of neural canal of thoracic region
- M99.54Intervertebral disc stenosis of neural canal of sacral region
- M99.55Intervertebral disc stenosis of neural canal of pelvic region
- M99.56Intervertebral disc stenosis of neural canal of lower extremity
- M99.57Intervertebral disc stenosis of neural canal of upper extremity
- M99.58Intervertebral disc stenosis of neural canal of rib cage
- M99.59Intervertebral disc stenosis of neural canal of abdomen and other regions