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 CodesM48.50

M48.50

Billable

Collapsed vertebra, not elsewhere classified, site unspecified

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

Code Description

ICD-10 M48.50 is a billable code used to indicate a diagnosis of collapsed vertebra, not elsewhere classified, site unspecified.

Key Diagnostic Point:

Collapsed vertebrae, often referred to as vertebral compression fractures, occur when the vertebrae weaken and collapse, leading to a reduction in height. This condition can arise from various underlying issues, including osteoporosis, trauma, or malignancy. In the context of spondylopathies, such as ankylosing spondylitis, the vertebrae may become more susceptible to collapse due to chronic inflammation and structural changes in the spine. Spinal stenosis, characterized by narrowing of the spinal canal, can also contribute to vertebral collapse by increasing pressure on the vertebrae. Inflammatory spine conditions can lead to bone erosion and weakening, further predisposing individuals to vertebral collapse. The diagnosis of a collapsed vertebra typically involves imaging studies such as X-rays or MRI, which can reveal the extent of the collapse and any associated complications. Treatment may include pain management, physical therapy, or surgical interventions, depending on the severity and underlying cause of the collapse.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of vertebral collapse (traumatic vs. pathological)
  • Identifying underlying conditions such as osteoporosis or malignancy
  • Documenting the specific site of collapse when possible
  • Understanding the relationship with other spinal conditions like ankylosing spondylitis

Audit Risk Factors

  • Inadequate documentation of the cause of collapse
  • Failure to specify the site of the vertebral collapse
  • Misuse of unspecified codes leading to potential denials
  • Lack of correlation between diagnosis and treatment provided

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, clinical notes on the mechanism of injury, and treatment plans.

Common Clinical Scenarios

Patients presenting with back pain following a fall or those with chronic conditions leading to vertebral weakening.

Billing Considerations

Ensure that the underlying cause of the collapse is well-documented to support the diagnosis.

Rheumatology

Documentation Requirements

Comprehensive history of inflammatory conditions, lab results, and imaging studies.

Common Clinical Scenarios

Patients with ankylosing spondylitis experiencing acute back pain or new neurological symptoms.

Billing Considerations

Document the relationship between inflammatory conditions and vertebral collapse to justify coding.

Coding Guidelines

Inclusion Criteria

Use M48.50 When
  • According to ICD
  • 10 guidelines, M48
  • 50 should be used when the specific site of the collapsed vertebra is not documented
  • Coders should ensure that the medical record supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use M48.50 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Percutaneous vertebroplasty

Clinical Scenario

Used to stabilize a collapsed vertebra in patients with osteoporosis.

Documentation Requirements

Pre-operative imaging, patient history, and consent forms.

Specialty Considerations

Orthopedic surgeons should document the indication for the procedure clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vertebral conditions, improving the ability to capture the complexity of cases involving collapsed vertebrae. However, the unspecified nature of M48.50 may lead to challenges in justifying medical necessity.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vertebral conditions, improving the ability to capture the complexity of cases involving collapsed vertebrae. However, the unspecified nature of M48.50 may lead to challenges in justifying medical necessity.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vertebral conditions, improving the ability to capture the complexity of cases involving collapsed vertebrae. However, the unspecified nature of M48.50 may lead to challenges in justifying medical necessity.

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 M48.50?

Use M48.50 when a patient presents with a collapsed vertebra and the specific site is not documented. Ensure that the medical record supports the diagnosis.