1. ICD-10-CM Codes
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2. M00-M99 Diseases of the musculoskeletal system and connective tissue
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3. M45-M49 Spondylopathies
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4. M48- Other spondylopathies
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2018/2019 ICD-10-CM Diagnosis Code M48.5

Collapsed vertebra, not elsewhere classified

2016 2017 2018 2019 Non-Billable/Non-Specific Code

• M48.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• The 2018/2019 edition of ICD-10-CM M48.5 became effective on October 1, 2018.
• This is the American ICD-10-CM version of M48.5 - other international versions of ICD-10 M48.5 may differ.

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change

• Type 1 Excludes: M80
  , M80
  , M84.4
  ICD-10-CM Diagnosis Code M80

  Osteoporosis with current pathological fracture

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • osteoporosis with current fragility fracture

  Type 1 Excludes

  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

  Type 2 Excludes

  • personal history of (healed) osteoporosis fracture (Z87.310)

  Use Additional

  • code to identify major osseous defect, if applicable (M89.7-)
  ICD-10-CM Diagnosis Code M80

  Osteoporosis with current pathological fracture

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • osteoporosis with current fragility fracture

  Type 1 Excludes

  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

  Type 2 Excludes

  • personal history of (healed) osteoporosis fracture (Z87.310)

  Use Additional

  • code to identify major osseous defect, if applicable (M89.7-)
  ICD-10-CM Diagnosis Code M84.4

  Pathological fracture, not elsewhere classified

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Chronic fracture
  • Pathological fracture NOS

  Type 1 Excludes

  • collapsed vertebra NEC (M48.5)
  • pathological fracture in neoplastic disease (M84.5-)
  • pathological fracture in osteoporosis (M80.-)
  • pathological fracture in other disease (M84.6-)
  • stress fracture (M84.3-)
  • traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)

  Type 2 Excludes

  • personal history of (healed) pathological fracture (Z87.311)

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.