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M47.26

Billable

Other spondylosis with radiculopathy, lumbar region

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

What This Code Means

Degenerative spine disease in the lower back (lumbar region) causing nerve root compression and pain radiating into the leg or buttock.

Coding Tips

  • •Most common location for radiculopathy; document which nerve root (L4, L5, S1, etc.) is compressed if available
  • •Distinguish from cauda equina syndrome and ensure myelopathy is not present (would use M47.16)

Code Hierarchy

└M47Spondylosis└M47.2Other spondylosis with radiculopathy└M47.26Other spondylosis with radiculopathy, lumbar region
└M47.26Other spondylosis with radiculopathy, lumbar region

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