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M46 ICD-10-CM Code: Other inflammatory spondylopathies

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Spondylopathies (M45-M49)

M46

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other inflammatory spondylopathies

Other inflammatory spondylopathies

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
M4Spondylopathies (M45-M49)
M46Other inflammatory spondylopathies

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M46 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M46 in this effective period.

Related Child Codes

Official
M46.0Spinal enthesopathy
M46.1Sacroiliitis, not elsewhere classified
M46.2Osteomyelitis of vertebra
M46.3Infection of intervertebral disc (pyogenic)
M46.4Discitis, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for M46 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M46 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M46 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M46 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M46 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

M46 is the ICD-10-CM diagnosis code for other inflammatory spondylopathies. M46 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering spondylopathies (m45-m49).

Header codes like M46 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M46's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M46 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

M46Other inflammatory spondylopathies
M46Other inflammatory spondylopathies

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