M43.0
Header — not billableSpondylolysis
The ICD-10 code for spondylolysis is M43.0.
M43.0 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 10 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under M43.0
- M43.00Spondylolysis, site unspecified
- M43.01Spondylolysis, occipito-atlanto-axial region
- M43.02Spondylolysis, cervical region
- M43.03Spondylolysis, cervicothoracic region
- M43.04Spondylolysis, thoracic region
- M43.05Spondylolysis, thoracolumbar region
- M43.06Spondylolysis, lumbar region
- M43.07Spondylolysis, lumbosacral region
- M43.08Spondylolysis, sacral and sacrococcygeal region
- M43.09Spondylolysis, multiple sites in spine
Related codes in this category
- M43.1Spondylolisthesisnon-billable header
- M43.2Fusion of spinenon-billable header
- M43.3Recurrent atlantoaxial dislocation with myelopathy
- M43.4Other recurrent atlantoaxial dislocation
- M43.5Other recurrent vertebral dislocationnon-billable header
- M43.6Torticollis
- M43.8Other specified deforming dorsopathiesnon-billable header
- M43.9Deforming dorsopathy, unspecified
- M43.0Spondylolysisnon-billable header