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M43.05

Billable

Spondylolysis, thoracolumbar 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 vertebral bone at the junction between the mid-back and lower back (thoracolumbar region).

Coding Tips

  • •This code represents the transition zone between thoracic and lumbar regions; ensure documentation clearly indicates this location
  • •Common in athletes and individuals with repetitive spinal stress

Code Hierarchy

└M43Other deforming dorsopathies└M43.0Spondylolysis└M43.05Spondylolysis, thoracolumbar region
└M43.05Spondylolysis, thoracolumbar region

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