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ICD-10-CM Code for Collapsed vertebra, not elsewhere classified, lumbar region M48.56

ICD-10 code M48.56 for Collapsed vertebra, not elsewhere classified, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .

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Official Long Descriptor

Collapsed vertebra, not elsewhere classified, lumbar region

M48.5

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.-)

 
M48.56 Collapsed vertebra, not elsewhere classified, lumbar region
Child Code
Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture
Child Code
Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing
Child Code
Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with delayed healing
Child Code
Collapsed vertebra, not elsewhere classified, lumbar region, sequela of fracture

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM M48.56 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

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Medical necessity for Kyphoplasty
I code for interventional radiologists and our clearinghouse has started denying Kyphoplasty codes for medical necessity when we bill to Medicare with a compression fracture diagnosis. Example: CPT 22... [ Read More ]
T7 Compression fracture (S)
[QUOTE="LisaAlonso23, post: 513788, member: 220094"] The correct ICD-10 code for a compression fracture of the thoracic spine is M48.54XA. This is the diagnosis to use for the repair/fusion. Z47.89 ... [ Read More ]
T7 Compression fracture (S)
The correct ICD-10 code for a compression fracture of the thoracic spine is M48.54XA. This is the diagnosis to use for the repair/fusion. Z47.89 is for orthopedic aftercare If this is a new conditi... [ Read More ]
Anyone ever bill for pain management?
[QUOTE="DGgirll20, post: 501039, member: 693252"] For CPT codes 64492 and 64495, the need for a three-level procedure may be considered under unique circumstances and with sufficient documentation of ... [ Read More ]
Fracture/Osteoporosis
Good morning! I am trying to get some clarification on coding for an acute lumbar compression fracture. The documentation states that the patient has an L3 compression fracture that occurred on 9/4/21... [ Read More ]
Anyone ever bill for pain management?
For CPT codes 64492 and 64495, the need for a three-level procedure may be considered under unique circumstances and with sufficient documentation of medical necessity on appeal. The KX modifier sho... [ Read More ]
Spine coding question
Provider performed L5-S1 Lami and a fusion and I noticed there is a bundling issue and unable to locate the NCCI edit. please assist. Thank you My code selection- 22633- M47.36/M48.061 63012/59-M43.... [ Read More ]
Spondylopathy
[QUOTE="yanetsi, post: 497695, member: 447399"] AAPC feedback. [/QUOTE] I agree with AAPC's feedback. M48.9 is correct unless your payer or organization requires a more specified code, in which case ... [ Read More ]
Spondylopathy
[QUOTE="yanetsi, post: 497694, member: 447399"] Feedback was provided, because the provider doc spondylopathy [B]cervical spine[/B] M48.9 was not appropriate because it's an unspecified code (Auditor)... [ Read More ]
Spondylopathy
[QUOTE="thomas7331, post: 497421, member: 5404"] Auditors aren't supposed to just tell you you're wrong - they need to provide you with their recommendations for the correct code and the rationale. I... [ Read More ]
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