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M43.06

Billable

Spondylolysis, lumbar 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 of the lower back (lumbar spine), often causing back pain and weakness.

Coding Tips

  • •Most common site for spondylolysis; verify if bilateral or unilateral in clinical documentation
  • •May be associated with activity-related symptoms; document any functional limitations

Code Hierarchy

└M43Other deforming dorsopathies└M43.0Spondylolysis└M43.06Spondylolysis, lumbar region
└M43.06Spondylolysis, lumbar region

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