M47.10 — Other spondylosis with myelopathy, site unspecified
Is M47.10 billable?
Yes, but M47.10 will trip a Medicare edit. M47.10 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, CMS lists M47.10 under Medicare Code Editor edit 20, “Unspecified code” — meaning a code specifying laterality (right, left or bilateral) exists in the same family. On an inpatient claim this triggers the edit, because CMS holds that there are very limited circumstances in which laterality cannot be documented.
More specific alternatives
- M47.11Other spondylosis with myelopathy, occipito-atlanto-axial region
- M47.12Other spondylosis with myelopathy, cervical region
- M47.13Other spondylosis with myelopathy, cervicothoracic region
- M47.14Other spondylosis with myelopathy, thoracic region
- M47.15Other spondylosis with myelopathy, thoracolumbar region
- M47.16Other spondylosis with myelopathy, lumbar region
M47.10 at a glance
| Code | M47.10 |
|---|---|
| Description | Other spondylosis with myelopathy, site unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to M47.10?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name M47.10 directly.
A code specifying laterality (right, left or bilateral) exists in the same family. CMS holds that there are very limited circumstances in which laterality cannot be documented.
Which MS-DRGs does M47.10 group to?
M47.10 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 551Medical Back Problems with MCCmedical
- 552Medical Back Problems without MCCmedical
As a secondary diagnosis, M47.10 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M47.10 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M47.10. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Spondylosis › with › myelopathy NEC
Excludes1 — never code together — inherited from M47.1
The conditions below can never be reported together with M47.10 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- vertebral subluxation (M43.3-M43.5X9)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M47.10, but a patient may have both at the same time. When documentation supports it, M47.10 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)
How long has M47.10 existed?
M47.10 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 conditions are coded to M47.10?
What other codes are in the M47.1 family? (6)
- M47.11Other spondylosis with myelopathy, occipito-atlanto-axial region
- M47.12Other spondylosis with myelopathy, cervical region
- M47.13Other spondylosis with myelopathy, cervicothoracic region
- M47.14Other spondylosis with myelopathy, thoracic region
- M47.15Other spondylosis with myelopathy, thoracolumbar region
- M47.16Other spondylosis with myelopathy, lumbar region