Skip to content
HCC Buddy home

M42.16

Billable

Adult osteochondrosis of spine, lumbar region

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

What This Code Means

Degenerative disc disease in the lower back (lumbar spine) in adults, characterized by breakdown of spinal discs and bone changes.

Coding Tips

  • •Confirm documentation specifies lumbar region only, not extending to sacral area
  • •This is one of the most common sites for adult osteochondrosis; ensure it's not coded as unspecified (M42.9)

Code Hierarchy

└M42Spinal osteochondrosis└M42.1Adult osteochondrosis of spine└M42.16Adult osteochondrosis of spine, lumbar region
└M42.16Adult osteochondrosis of spine, lumbar region

Open M42.16 in the Interactive Encoder

See full code details, AI coding tips, HCC mappings, and related codes in our interactive encoder. Start your 14-day Pro trial — no credit card required.

Open in EncoderStart 14-Day Pro Trial