M48.061 — Spinal stenosis, lumbar region without neurogenic claudication
Is M48.061 billable?
Yes — M48.061 is billable for FY2027. M48.061 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M48.061 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M48.061 at a glance
| Code | M48.061 |
|---|---|
| Description | Spinal stenosis, lumbar region without neurogenic claudication |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M48.061 group to?
M48.061 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
How is M48.061 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M48.061. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Stenosis, stenotic › spinal › lumbar region (cicatricial)
Inclusion terms
Alternative wording in documentation that is classified to M48.061.
- Spinal stenosis, lumbar region NOS
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M48.061, but a patient may have both at the same time. When documentation supports it, M48.061 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 M48.061 existed?
M48.061 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.