October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

M49 Spondylopathies in diseases classified elsewhere

All 10 codes in the M49 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

10

Can lead a claim

0

Cannot lead a claim

10

What CMS assigns to M49

None of the 10 codes is assigned a clinical group. None of the 10 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to all 10.

Code first

CMS grouper convention 124, on all 10 codes. Code first:

  • Charcot-Marie-Tooth disease (G60.0)
  • brucellosis (A23.-)
  • enterobacterial infections (A01-A04)
  • osteitis fibrosa cystica (E21.0)
  • underlying disease, such as:

Every code in M49

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M49.8 Spondylopathy in diseases classified elsewhere
M49.80Spondylopathy in diseases classified elsewhere, site unspecifiedCMS: Spondylopathy in diseases classified elsewhere, site unspCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.81Spondylopathy in diseases classified elsewhere, occipito-atlanto-axial regionCMS: Spond in diseases classd elswhr, occipt-atlan-ax regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.82Spondylopathy in diseases classified elsewhere, cervical regionCMS: Spondylopathy in diseases classd elswhr, cervical regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.83Spondylopathy in diseases classified elsewhere, cervicothoracic regionCMS: Spondylopathy in diseases classd elswhr, cervicothor regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.84Spondylopathy in diseases classified elsewhere, thoracic regionCMS: Spondylopathy in diseases classd elswhr, thoracic regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.85Spondylopathy in diseases classified elsewhere, thoracolumbar regionCMS: Spond in diseases classd elswhr, thoracolumbar regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.86Spondylopathy in diseases classified elsewhere, lumbar regionCMS: Spondylopathy in diseases classd elswhr, lumbar regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.87Spondylopathy in diseases classified elsewhere, lumbosacral regionCMS: Spondylopathy in diseases classd elswhr, lumbosacral regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.88Spondylopathy in diseases classified elsewhere, sacral and sacrococcygeal regionCMS: Spond in diseases classd elswhr, sacr/sacrocygl regionCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M49.89Spondylopathy in diseases classified elsewhere, multiple sites in spineCMS: Spond in diseases classd elswhr, multiple sites in spineCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue