M42.1 — Adult osteochondrosis of spine
Not billable
Is M42.1 billable?
No — M42.1 is a non-billable header code. M42.1 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 10 billable codes beneath M42.1.
Billable codes under this header
- M42.10Adult osteochondrosis of spine, site unspecified
- M42.11Adult osteochondrosis of spine, occipito-atlanto-axial region
- M42.12Adult osteochondrosis of spine, cervical region
- M42.13Adult osteochondrosis of spine, cervicothoracic region
- M42.14Adult osteochondrosis of spine, thoracic region
- M42.15Adult osteochondrosis of spine, thoracolumbar region
- M42.16Adult osteochondrosis of spine, lumbar region
- M42.17Adult osteochondrosis of spine, lumbosacral region
- M42.18Adult osteochondrosis of spine, sacral and sacrococcygeal region
- M42.19Adult osteochondrosis of spine, multiple sites in spine
M42.1 at a glance
| Code | M42.1 |
|---|---|
| Description | Adult osteochondrosis of spine |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M42.1, but a patient may have both at the same time. When documentation supports it, M42.1 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
What codes fall under M42.1? (10)
- M42.10Adult osteochondrosis of spine, site unspecified
- M42.11Adult osteochondrosis of spine, occipito-atlanto-axial region
- M42.12Adult osteochondrosis of spine, cervical region
- M42.13Adult osteochondrosis of spine, cervicothoracic region
- M42.14Adult osteochondrosis of spine, thoracic region
- M42.15Adult osteochondrosis of spine, thoracolumbar region
- M42.16Adult osteochondrosis of spine, lumbar region
- M42.17Adult osteochondrosis of spine, lumbosacral region
- M42.18Adult osteochondrosis of spine, sacral and sacrococcygeal region
- M42.19Adult osteochondrosis of spine, multiple sites in spine
How long has M42.1 existed?
M42.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.