Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture
Billable / specificHCC V28 401
M48.55XA 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 M48)
- 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.
- current injury - see Injury of spine, by body region (from M48.5)
- fatigue fracture of vertebra (M48.4) (from M48.5)
- pathological fracture of vertebra due to neoplasm (M84.58) (from M48.5)
- pathological fracture of vertebra due to other diagnosis (M84.68) (from M48.5)
- pathological fracture of vertebra due to osteoporosis (M80.-) (from M48.5)
- pathological fracture NOS (M84.4-) (from M48.5)
- stress fracture of vertebra (M48.4-) (from M48.5)
- traumatic fracture of vertebra (S12.-, S22.-, S32.-) (from M48.5)
Excludes2
Not included here — may be reported together when both conditions exist.
- arthropathic psoriasis (L40.5-) (from M48)
- certain conditions originating in the perinatal period (P04-P96) (from M48)
- certain infectious and parasitic diseases (A00-B99) (from M48)
- compartment syndrome (traumatic) (T79.A-) (from M48)
- complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M48)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M48)
- endocrine, nutritional and metabolic diseases (E00-E88) (from M48)
- injury, poisoning and certain other consequences of external causes (S00-T88) (from M48)
- neoplasms (C00-D49) (from M48)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M48)
7th character
The 7th character values that apply to this code (defined at M48.5). Use the placeholder "X" for missing positions.
| Character | Meaning |
|---|---|
| A | initial encounter for fracture |
| D | subsequent encounter for fracture with routine healing |
| G | subsequent encounter for fracture with delayed healing |
| S | sequela of fracture |
Parent code
- M48.55Collapsed vertebra, not elsewhere classified, thoracolumbar regionNeeds 7th char
Related codes
- M48.55XDCollapsed vertebra, not elsewhere classified, thoracolumbar region, subsequent encounter for fracture with routine healingBillable
- M48.55XGCollapsed vertebra, not elsewhere classified, thoracolumbar region, subsequent encounter for fracture with delayed healingBillable
- M48.55XSCollapsed vertebra, not elsewhere classified, thoracolumbar region, sequela of fractureBillable