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M47 ICD-10-CM Code: Spondylosis

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

M47

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

Spondylosis

Spondylosis

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
M4Spondylopathies (M45-M49)
M47Spondylosis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M47 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M47 in this effective period.

Related Child Codes

Official
M47.0Anterior spinal and vertebral artery compression syndromes
M47.1Other spondylosis with myelopathy
M47.2Other spondylosis with radiculopathy
M47.8Other spondylosis
M47.9Spondylosis, unspecified

Includes

Official
  • arthrosis or osteoarthritis of spine
  • degeneration of facet joints

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M47 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M47 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M47 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M47 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.

Coder workflow notes

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What This Code Means

M47 is the ICD-10-CM diagnosis code for spondylosis. M47 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 M47 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 M47'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 M47 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • arthrosis or osteoarthritis of spine
  • degeneration of facet joints

Child Codes

Code Hierarchy

M47Spondylosis
M47Spondylosis

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