M43.07
BillableSpondylolysis, lumbosacral 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 lower back and sacrum (lumbosacral region).
Coding Tips
- •This is a critical transition zone; ensure precise anatomical documentation to distinguish from purely lumbar or sacral involvement
- •Often associated with lower back pain radiating to buttocks or legs
Code Hierarchy
└M43Other deforming dorsopathies└M43.0Spondylolysis└M43.07Spondylolysis, lumbosacral region
└M43.07Spondylolysis, lumbosacral region