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

M51 Thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders

All 36 codes in the M51 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

36

Can lead a claim

36

Cannot lead a claim

0

What CMS assigns to M51

All 36 codes group to Musculoskeletal Rehabilitation. None of the 36 is assigned a comorbidity subgroup. Every code can lead a claim. CMS attaches a code-first note to 6 of the 36.

Code first

CMS grouper convention 125, on M51.A0, M51.A1, M51.A2. Code first:

  • , if applicable, lumbar disc herniation (M51.06, M51.16, M51.26)

CMS grouper convention 126, on M51.A3, M51.A4, M51.A5. Code first:

  • , if applicable, lumbosacral disc herniation (M51.17, M51.27)

Every code in M51

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M51.0 Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with myelopathy
M51.04Intervertebral disc disorders with myelopathy, thoracic regionCMS: Intervertebral disc disorders w myelopathy, thoracic regionCan lead a claimENone
M51.05Intervertebral disc disorders with myelopathy, thoracolumbar regionCMS: Intvrt disc disorders w myelopathy, thoracolumbar regionCan lead a claimENone
M51.06Intervertebral disc disorders with myelopathy, lumbar regionCan lead a claimENone
M51.1 Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
M51.14Intervertebral disc disorders with radiculopathy, thoracic regionCMS: Intvrt disc disorders w radiculopathy, thoracic regionCan lead a claimENone
M51.15Intervertebral disc disorders with radiculopathy, thoracolumbar regionCMS: Intvrt disc disorders w radiculopathy, thoracolumbar regionCan lead a claimENone
M51.16Intervertebral disc disorders with radiculopathy, lumbar regionCMS: Intervertebral disc disorders w radiculopathy, lumbar regionCan lead a claimENone
M51.17Intervertebral disc disorders with radiculopathy, lumbosacral regionCMS: Intvrt disc disorders w radiculopathy, lumbosacral regionCan lead a claimENone
M51.2 Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement
M51.24Other intervertebral disc displacement, thoracic regionCan lead a claimENone
M51.25Other intervertebral disc displacement, thoracolumbar regionCan lead a claimENone
M51.26Other intervertebral disc displacement, lumbar regionCan lead a claimENone
M51.27Other intervertebral disc displacement, lumbosacral regionCan lead a claimENone
M51.3 Other thoracic, thoracolumbar and lumbosacral intervertebral disc degeneration
M51.34Other intervertebral disc degeneration, thoracic regionCan lead a claimENone
M51.35Other intervertebral disc degeneration, thoracolumbar regionCan lead a claimENone
M51.36 Other intervertebral disc degeneration, lumbar region
M51.360Other intervertebral disc degeneration, lumbar region with discogenic back pain onlyCMS: Other intvrt disc degen, lum rgn with discog back pain onlyCan lead a claimENone
M51.361Other intervertebral disc degeneration, lumbar region with lower extremity pain onlyCMS: Other intvrt disc degen, lum region with low extrm pain onlyCan lead a claimENone
M51.362Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity painCMS: Oth intvrt disc degen, lum rgn w discog bck & lw extrm painCan lead a claimENone
M51.369Other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity painCMS: Oth intvrt disc degen, lum rgn w/o lum bck or lw extrm painCan lead a claimENone
M51.37 Other intervertebral disc degeneration, lumbosacral region
M51.370Other intervertebral disc degeneration, lumbosacral region with discogenic back pain onlyCMS: Oth intvrt disc degen, lumbosacr rgn w discog bck pain onlyCan lead a claimENone
M51.371Other intervertebral disc degeneration, lumbosacral region with lower extremity pain onlyCMS: Oth intvrt disc degen, lumbosacr rgn w low extrm pain onlyCan lead a claimENone
M51.372Other intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity painCMS: Oth intvrt disc degen, lumbosacr w discog bck & lw extrm pnCan lead a claimENone
M51.379Other intervertebral disc degeneration, lumbosacral region without mention of lumbar back pain or lower extremity painCMS: Oth intvrt disc degen, lumbosacr w/o lum bck or lw extrm pnCan lead a claimENone
M51.4 Schmorl's nodes
M51.44Schmorl's nodes, thoracic regionCan lead a claimENone
M51.45Schmorl's nodes, thoracolumbar regionCan lead a claimENone
M51.46Schmorl's nodes, lumbar regionCan lead a claimENone
M51.47Schmorl's nodes, lumbosacral regionCan lead a claimENone
M51.8 Other thoracic, thoracolumbar and lumbosacral intervertebral disc disorders
M51.84Other intervertebral disc disorders, thoracic regionCan lead a claimENone
M51.85Other intervertebral disc disorders, thoracolumbar regionCan lead a claimENone
M51.86Other intervertebral disc disorders, lumbar regionCan lead a claimENone
M51.87Other intervertebral disc disorders, lumbosacral regionCan lead a claimENone
M51.9Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorderCMS: Unsp thoracic, thoracolum and lumbosacr intvrt disc disorderCan lead a claimENone
M51.A Other lumbar and lumbosacral annulus fibrosus disc defects
M51.A0Intervertebral annulus fibrosus defect, lumbar region, unspecified sizeCMS: Intvrt annulus fibrosus defect, lumbar region, unsp sizeCan lead a claim, code first appliesENone
M51.A1Intervertebral annulus fibrosus defect, small, lumbar regionCan lead a claim, code first appliesENone
M51.A2Intervertebral annulus fibrosus defect, large, lumbar regionCan lead a claim, code first appliesENone
M51.A3Intervertebral annulus fibrosus defect, lumbosacral region, unspecified sizeCMS: Intvrt annulus fibrosus defect, lumbosacr region, unsp sizeCan lead a claim, code first appliesENone
M51.A4Intervertebral annulus fibrosus defect, small, lumbosacral regionCMS: Intvrt annulus fibrosus defect, small, lumbosacral regionCan lead a claim, code first appliesENone
M51.A5Intervertebral annulus fibrosus defect, large, lumbosacral regionCMS: Intvrt annulus fibrosus defect, large, lumbosacral regionCan lead a claim, code first appliesENone

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