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M43.16

Billable

Spondylolisthesis, lumbar region

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

What This Code Means

A condition where one vertebra in the lower back (lumbar spine) slips forward over the vertebra below it, commonly causing lower back pain and sometimes leg pain.

Coding Tips

  • This is one of the most common sites for spondylolisthesis; specify the exact lumbar level (L1-L5) if documented for greater specificity
  • Note any associated symptoms like radiculopathy or claudication that may affect treatment decisions

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