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M47.896

Billable

Other spondylosis, 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 region with additional clinical features beyond simple wear and tear.

Coding Tips

  • Lumbar spondylosis is the most common location; ensure you're using the 'other spondylosis' code (M47.89x) rather than the simpler M47.81x when additional features are present
  • Verify that symptoms are not due to lumbar stenosis (M48.06x) or other specific lumbar conditions

Code Hierarchy

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