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M43.03

Billable

Spondylolysis, cervicothoracic region

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 at the junction between the neck and upper back (cervicothoracic region).

Coding Tips

  • Cervicothoracic region is the transition zone between cervical and thoracic spine; verify documentation specifies this location
  • This region includes the lower cervical and upper thoracic vertebrae

Code Hierarchy

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