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M48.5 Non-Billable Code

Collapsed vertebra, not elsewhere classified

Chapter Classification

Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)

Section Detail

M45-M49 Spondylopathies (M45-M49)

Code Hierarchy

This code is a child of M48.

As a non-billable code, it requires more specific digits to be used on a medical claim.

Coding Guidelines & Notes

excludes1
  • current injury - see Injury of spine, by body region
  • fatigue fracture of vertebra (M48.4)
  • pathological fracture of vertebra due to neoplasm (M84.58)
  • pathological fracture of vertebra due to other diagnosis (M84.68)
  • pathological fracture of vertebra due to osteoporosis (M80.-)
  • pathological fracture NOS (M84.4-)
  • stress fracture of vertebra (M48.4-)
  • traumatic fracture of vertebra (S12.-, S22.-, S32.-)
sevenChrDef
  • {'char': 'A', 'text': 'initial encounter for fracture'}
  • {'char': 'D', 'text': 'subsequent encounter for fracture with routine healing'}
  • {'char': 'G', 'text': 'subsequent encounter for fracture with delayed healing'}
  • {'char': 'S', 'text': 'sequela of fracture'}
sevenChrNote
  • The appropriate 7th character is to be added to each code from subcategory M48.5:

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

  • M48.50 - Collapsed vertebra, not elsewhere classified, site unspecified Billable
  • M48.51 - Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region Billable
  • M48.52 - Collapsed vertebra, not elsewhere classified, cervical region Billable
  • M48.53 - Collapsed vertebra, not elsewhere classified, cervicothoracic region Billable
  • M48.54 - Collapsed vertebra, not elsewhere classified, thoracic region Billable
  • M48.55 - Collapsed vertebra, not elsewhere classified, thoracolumbar region Billable
  • M48.56 - Collapsed vertebra, not elsewhere classified, lumbar region Billable
  • M48.57 - Collapsed vertebra, not elsewhere classified, lumbosacral region Billable
  • M48.58 - Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region Billable

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