M53.87 — Other specified dorsopathies, lumbosacral region
M53.87 is a billable, specific ICD-10-CM code for other specified dorsopathies, lumbosacral region. It is valid for submission on a claim.
Risk adjustment
M53.87 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.
Medicare coverage
M53.87 is named in 24 Medicare coverage policies — 18 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M53.87 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M53.87.
- Disease, diseased›lumbosacral region
- Dorsopathy›specified NEC›lumbosacral region
Related codes at this level
Codes that share M53.8. If M53.87 is not quite right, the correct code is usually one of these.
- M53.80Other specified dorsopathies, site unspecified
- M53.81Other specified dorsopathies, occipito-atlanto-axial region
- M53.82Other specified dorsopathies, cervical region
- M53.83Other specified dorsopathies, cervicothoracic region
- M53.84Other specified dorsopathies, thoracic region
- M53.85Other specified dorsopathies, thoracolumbar region
- M53.86Other specified dorsopathies, lumbar region
- M53.88Other specified dorsopathies, sacral and sacrococcygeal region
Questions about M53.87
- Is M53.87 a billable ICD-10-CM code?
- Yes. M53.87 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M53.87 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other dorsopathies (M50-M54).