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M42.15

Billable

Adult osteochondrosis of spine, thoracolumbar region

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Degenerative disc disease affecting the middle and lower back where the thoracic and lumbar spine meet, causing wear and tear of the spinal discs and bones in adults.

Coding Tips

  • •Verify documentation specifies 'adult' osteochondrosis and confirms thoracolumbar region involvement
  • •Distinguish from other spinal regions - thoracolumbar is the transition zone between mid-back and lower back

Code Hierarchy

└M42Spinal osteochondrosis└M42.1Adult osteochondrosis of spine└M42.15Adult osteochondrosis of spine, thoracolumbar region
└M42.15Adult osteochondrosis of spine, thoracolumbar region

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