M48.51
M48.51 — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region
Non-billable headerICD-10-CM
M48.51 is a non-billable header ICD-10-CM code for collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from subcategory M48.5:
- 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
Risk adjustment
M48.51 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M48.51
4 child codes. Green means billable.
- M48.51XACollapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture
- M48.51XDCollapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, subsequent encounter for fracture with routine healing
- M48.51XGCollapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, subsequent encounter for fracture with delayed healing
- M48.51XSCollapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, sequela of fracture
Related codes at this level
Codes that share M48.5. If M48.51 is not quite right, the correct code is usually one of these.
- M48.50Collapsed vertebra, not elsewhere classified, site unspecified
- M48.52Collapsed vertebra, not elsewhere classified, cervical region
- M48.53Collapsed vertebra, not elsewhere classified, cervicothoracic region
- M48.54Collapsed vertebra, not elsewhere classified, thoracic region
- M48.55Collapsed vertebra, not elsewhere classified, thoracolumbar region
- M48.56Collapsed vertebra, not elsewhere classified, lumbar region
- M48.57Collapsed vertebra, not elsewhere classified, lumbosacral region
- M48.58Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region
Questions about M48.51
- Is M48.51 a billable ICD-10-CM code?
- No. M48.51 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M48.51 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Spondylopathies (M45-M49).