M43.1 — Spondylolisthesis

Not billable

Is M43.1 billable?

No — M43.1 is a non-billable header code. M43.1 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 M43.1.

Billable codes under this header

M43.1 at a glance

Code	M43.1
Description	Spondylolisthesis
Billable	No — header code
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with M43.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

acute traumatic of lumbosacral region (S33.1)
acute traumatic of sites other than lumbosacral- code to Fracture, vertebra, by region
congenital spondylolisthesis (Q76.2)

Excludes1 — never code together — inherited from M43

The conditions below can never be reported together with M43.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

congenital spondylolysis and spondylolisthesis (Q76.2)
hemivertebra (Q76.3-Q76.4)
Klippel-Feil syndrome (Q76.1)
lumbarization and sacralization (Q76.4)
platyspondylisis (Q76.4)
spina bifida occulta (Q76.0)
spinal curvature in osteoporosis (M80.-)
spinal curvature in Paget's disease of bone [osteitis deformans] (M88.-)

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M43.1, but a patient may have both at the same time. When documentation supports it, M43.1 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 M43.1? (10)

How long has M43.1 existed?

M43.1 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.

Which codes are confused with M43.1?

ICD-10-CM declares these codes mutually exclusive with M43.1 — exactly one of each pair can be correct for a given encounter.

vs Q76.2Congenital spondylolisthesis