M43.00

Spondylolysis, site unspecified

Billable / specific

M43.00 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from M43)

  • Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Excludes1

Not coded here — never report together with this code.

  • congenital spondylolysis (Q76.2) (from M43.0)
  • spondylolisthesis (M43.1) (from M43.0)
  • congenital spondylolysis and spondylolisthesis (Q76.2) (from M43)
  • hemivertebra (Q76.3-Q76.4) (from M43)
  • Klippel-Feil syndrome (Q76.1) (from M43)
  • lumbarization and sacralization (Q76.4) (from M43)
  • platyspondylisis (Q76.4) (from M43)
  • spina bifida occulta (Q76.0) (from M43)
  • spinal curvature in osteoporosis (M80.-) (from M43)
  • spinal curvature in Paget's disease of bone [osteitis deformans] (M88.-) (from M43)

Excludes2

Not included here — may be reported together when both conditions exist.

  • arthropathic psoriasis (L40.5-) (from M43)
  • certain conditions originating in the perinatal period (P04-P96) (from M43)
  • certain infectious and parasitic diseases (A00-B99) (from M43)
  • compartment syndrome (traumatic) (T79.A-) (from M43)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M43)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M43)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from M43)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from M43)
  • neoplasms (C00-D49) (from M43)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M43)

Also known as

  • Spondylolysis

Parent code

Related codes

  • M43.01Spondylolysis, occipito-atlanto-axial regionBillable
  • M43.02Spondylolysis, cervical regionBillable
  • M43.03Spondylolysis, cervicothoracic regionBillable
  • M43.04Spondylolysis, thoracic regionBillable
  • M43.05Spondylolysis, thoracolumbar regionBillable
  • M43.06Spondylolysis, lumbar regionBillable
  • M43.07Spondylolysis, lumbosacral regionBillable
  • M43.08Spondylolysis, sacral and sacrococcygeal regionBillable
  • M43.09Spondylolysis, multiple sites in spineBillable

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