M43.16
BillableSpondylolisthesis, 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