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v1.0.0
ICD-10 Guide
ICD-10 CodesM49.8

M49.8

Billable

Spondylopathy in diseases classified elsewhere

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

Code Description

ICD-10 M49.8 is a billable code used to indicate a diagnosis of spondylopathy in diseases classified elsewhere.

Key Diagnostic Point:

Spondylopathy refers to a range of spinal disorders that can arise from various underlying diseases. This code is used when the spondylopathy is a manifestation of another condition, such as ankylosing spondylitis, spinal stenosis, or other inflammatory spine conditions. Ankylosing spondylitis is a chronic inflammatory disease primarily affecting the axial skeleton, leading to pain and stiffness in the spine and potentially resulting in fusion of the vertebrae. Spinal stenosis involves the narrowing of the spinal canal, which can compress the spinal cord and nerves, causing pain, numbness, or weakness. Inflammatory spine conditions may include a variety of disorders characterized by inflammation of the vertebrae and surrounding tissues. Accurate coding requires a thorough understanding of the underlying disease process and its relationship to the spondylopathy, as well as careful documentation of clinical findings and diagnostic tests.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of underlying diseases causing spondylopathy.
  • Differentiation from other spinal conditions.
  • Need for precise documentation of clinical findings.
  • Potential for multiple underlying diagnoses.

Audit Risk Factors

  • Inadequate documentation of the underlying disease.
  • Misclassification of spondylopathy type.
  • Failure to link spondylopathy to the primary diagnosis.
  • Inconsistent clinical findings in documentation.

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed history of symptoms, physical examination findings, and imaging results.

Common Clinical Scenarios

Patients presenting with chronic back pain, stiffness, and reduced mobility.

Billing Considerations

Ensure clear linkage between spondylopathy and underlying inflammatory conditions.

Orthopedics

Documentation Requirements

Surgical notes, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Patients with spinal stenosis requiring surgical intervention.

Billing Considerations

Document the severity of stenosis and its impact on function.

Coding Guidelines

Inclusion Criteria

Use M49.8 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the underlying disease
  • Include relevant clinical findings and diagnostic tests that support the diagnosis of spondylopathy

Exclusion Criteria

Do NOT use M49.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

72148CPT Code

MRI of the spine

Clinical Scenario

Used to evaluate the extent of spondylopathy.

Documentation Requirements

Indication for MRI and findings related to spondylopathy.

Specialty Considerations

Ensure imaging correlates with clinical symptoms.

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 ability to capture the complexity of these conditions and their underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylopathies, improving the ability to capture the complexity of these conditions and their underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spondylopathies, improving the ability to capture the complexity of these conditions and their underlying causes.

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 M49.8?

Use M49.8 when the spondylopathy is a manifestation of another disease, and ensure that the underlying condition is well-documented.