M99.03 — Segmental and somatic dysfunction of lumbar region

Billable

Is M99.03 billable?

Yes — M99.03 is billable for FY2027. M99.03 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M99.03 may be submitted for encounters from October 1, 2026 through September 30, 2027.

M99.03 at a glance

Code	M99.03
Description	Segmental and somatic dysfunction of lumbar region
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does M99.03 group to?

M99.03 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 M99.03 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to M99.03. They show the wording a clinician may have documented, which often differs from the Tabular description.

Dysfunction › somatic › lumbar region
Dysfunction › somatic › lumbosacral

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M99.03, but a patient may have both at the same time. When documentation supports it, M99.03 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 M99.03 existed?

M99.03 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.