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ICD-10 Guide
ICD-10 CodesM43.19

M43.19

Billable

Spondylolisthesis, multiple sites in spine

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M43.19 is a billable code used to indicate a diagnosis of spondylolisthesis, multiple sites in spine.

Key Diagnostic Point:

Spondylolisthesis is a condition characterized by the displacement of one vertebra over another, leading to spinal instability and potential nerve compression. When it occurs at multiple sites in the spine, it can result in a range of symptoms including lower back pain, leg pain, and neurological deficits. This condition can arise from various etiologies, including congenital defects, degenerative changes, trauma, or post-surgical complications. The severity of symptoms often correlates with the degree of slippage and the specific vertebrae involved. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to assess the degree of displacement and any associated spinal deformities. Treatment options may vary from conservative management, including physical therapy and pain management, to surgical interventions such as spinal fusion, which aims to stabilize the affected vertebrae and alleviate symptoms. Understanding the complexities of spondylolisthesis is crucial for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Multiple sites of involvement complicate documentation.
  • Differentiation from other spinal deformities is necessary.
  • Requires precise imaging documentation.
  • Potential for co-morbid conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of the degree of slippage.
  • Failure to specify the sites involved.
  • Misclassification with other spinal deformities.
  • Lack of imaging reports to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Surgical intervention for severe spondylolisthesis with spinal fusion.

Billing Considerations

Ensure clear documentation of the surgical approach and any complications.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive evaluations, treatment plans, and progress notes.

Common Clinical Scenarios

Conservative management of spondylolisthesis with physical therapy.

Billing Considerations

Document functional limitations and response to therapy.

Coding Guidelines

Inclusion Criteria

Use M43.19 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's severity, location, and any associated complications
  • Include imaging results and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use M43.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22630CPT Code

Lumbar spinal fusion

Clinical Scenario

Used in surgical management of spondylolisthesis.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the specific levels fused.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spondylolisthesis, enabling better tracking of the condition and its management. This specificity aids in research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylolisthesis, enabling better tracking of the condition and its management. This specificity aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spondylolisthesis, enabling better tracking of the condition and its management. This specificity aids in research and quality improvement initiatives.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between spondylolisthesis and spondylolysis?

Spondylolisthesis involves the displacement of a vertebra, while spondylolysis refers to a defect in the vertebral arch that may lead to spondylolisthesis.