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M43.00

Billable

Spondylolysis, site unspecified

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

What This Code Means

A stress fracture or defect in the vertebra (spondylolysis) when the specific location in the spine is not documented.

Coding Tips

  • •Spondylolysis is a break in the pars interarticularis of the vertebra; this code is unspecified for location
  • •Query documentation to identify the specific spinal region affected for more precise coding

Code Hierarchy

└M43Other deforming dorsopathies└M43.0Spondylolysis└M43.00Spondylolysis, site unspecified
└M43.00Spondylolysis, site unspecified

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