ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM48.8

M48.8

Billable

Other specified spondylopathies

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

Code Description

ICD-10 M48.8 is a billable code used to indicate a diagnosis of other specified spondylopathies.

Key Diagnostic Point:

M48.8 encompasses a variety of spondylopathies that do not fall under more specific categories. Spondylopathies refer to diseases of the vertebrae, which can include conditions such as ankylosing spondylitis, spinal stenosis, and other inflammatory spine conditions. Ankylosing spondylitis is a chronic inflammatory disease primarily affecting the spine and the sacroiliac joints, leading to pain and stiffness. Spinal stenosis involves the narrowing of the spinal canal, which can compress the spinal cord and nerves, causing pain, numbness, or weakness. Other inflammatory spine conditions may include reactive arthritis or psoriatic arthritis affecting the spine. Accurate diagnosis and documentation are crucial, as these conditions can significantly impact a patient's mobility and quality of life. Treatment often involves a multidisciplinary approach, including physical therapy, medications, and sometimes surgical interventions. Understanding the nuances of these conditions is essential for proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation to differentiate between spondylopathies
  • Potential overlap with other codes related to spinal conditions
  • Variability in clinical presentation and treatment approaches

Audit Risk Factors

  • Insufficient documentation of the specific spondylopathy
  • Inconsistent use of related codes
  • Lack of clear diagnostic imaging results
  • Failure to document the patient's clinical history adequately

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed patient history, physical examination findings, and imaging results are essential for accurate coding.

Common Clinical Scenarios

Patients presenting with chronic back pain, stiffness, and reduced mobility due to inflammatory spine conditions.

Billing Considerations

Rheumatologists must differentiate between various types of spondylopathies and document the specific type of inflammatory process.

Orthopedics

Documentation Requirements

Surgical notes, imaging studies, and pre-operative assessments are critical for coding.

Common Clinical Scenarios

Patients requiring surgical intervention for spinal stenosis or other degenerative changes.

Billing Considerations

Orthopedic surgeons should document the extent of spinal involvement and any associated neurological deficits.

Coding Guidelines

Inclusion Criteria

Use M48.8 When
  • According to ICD
  • 10 guidelines, M48
  • 8 should be used when a specific spondylopathy is not documented
  • Coders must ensure that the documentation supports the use of this code and that it is not used when a more specific code is available

Exclusion Criteria

Do NOT use M48.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in conjunction with M48.8 for patients receiving injections for pain management.

Documentation Requirements

Document the joint or bursa treated and the indication for the procedure.

Specialty Considerations

Rheumatologists may perform this procedure for inflammatory conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spondylopathies, improving the accuracy of diagnoses and treatment plans. M48.8 serves as a catch-all for unspecified conditions, but coders must strive for specificity to enhance patient care and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylopathies, improving the accuracy of diagnoses and treatment plans. M48.8 serves as a catch-all for unspecified conditions, but coders must strive for specificity to enhance patient care and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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

When should I use M48.8 instead of a more specific code?

M48.8 should be used when the specific type of spondylopathy is not documented or when the condition does not fit into a more defined category. Always strive for specificity when possible.