M40-M43 — Dorsopathies
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.
Codes in range
157
No clinical group
52
A period cannot be grouped from these.
Barred as primary
12
CMS rejects these in the primary position.
Where these codes group
105 of the 157 codes in M40-M43 group to Musculoskeletal Rehabilitation. A further 52 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Every code in M40-M43
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| M4000 | Postural kyphosis, site unspecified | None | Cannot group |
| M4003 | Postural kyphosis, cervicothoracic region | None | Cannot group |
| M4004 | Postural kyphosis, thoracic region | None | Cannot group |
| M4005 | Postural kyphosis, thoracolumbar region | None | Cannot group |
| M4010 | Other secondary kyphosis, site unspecified | None | Not accepted |
| M4012 | Other secondary kyphosis, cervical region | None | Not accepted |
| M4013 | Other secondary kyphosis, cervicothoracic region | None | Not accepted |
| M4014 | Other secondary kyphosis, thoracic region | None | Not accepted |
| M4015 | Other secondary kyphosis, thoracolumbar region | None | Not accepted |
| M40202 | Unspecified kyphosis, cervical region | None | Cannot group |
| M40203 | Unspecified kyphosis, cervicothoracic region | None | Cannot group |
| M40204 | Unspecified kyphosis, thoracic region | None | Cannot group |
| M40205 | Unspecified kyphosis, thoracolumbar region | None | Cannot group |
| M40209 | Unspecified kyphosis, site unspecified | None | Cannot group |
| M40292 | Other kyphosis, cervical region | None | Cannot group |
| M40293 | Other kyphosis, cervicothoracic region | None | Cannot group |
| M40294 | Other kyphosis, thoracic region | None | Cannot group |
| M40295 | Other kyphosis, thoracolumbar region | None | Cannot group |
| M40299 | Other kyphosis, site unspecified | None | Cannot group |
| M4030 | Flatback syndrome, site unspecified | None | Cannot group |
| M4035 | Flatback syndrome, thoracolumbar region | None | Cannot group |
| M4036 | Flatback syndrome, lumbar region | None | Cannot group |
| M4037 | Flatback syndrome, lumbosacral region | None | Cannot group |
| M4040 | Postural lordosis, site unspecified | None | Cannot group |
| M4045 | Postural lordosis, thoracolumbar region | None | Cannot group |
| M4046 | Postural lordosis, lumbar region | None | Cannot group |
| M4047 | Postural lordosis, lumbosacral region | None | Cannot group |
| M4050 | Lordosis, unspecified, site unspecified | None | Cannot group |
| M4055 | Lordosis, unspecified, thoracolumbar region | None | Cannot group |
| M4056 | Lordosis, unspecified, lumbar region | None | Cannot group |
| M4057 | Lordosis, unspecified, lumbosacral region | None | Cannot group |
| M4100 | Infantile idiopathic scoliosis, site unspecified | None | Cannot group |
| M4102 | Infantile idiopathic scoliosis, cervical region | E | Accepted |
| M4103 | Infantile idiopathic scoliosis, cervicothoracic region | E | Accepted |
| M4104 | Infantile idiopathic scoliosis, thoracic region | E | Accepted |
| M4105 | Infantile idiopathic scoliosis, thoracolumbar region | E | Accepted |
| M4106 | Infantile idiopathic scoliosis, lumbar region | E | Accepted |
| M4107 | Infantile idiopathic scoliosis, lumbosacral region | E | Accepted |
| M4108 | Infantile idiopathic scoliosis, sacr/sacrocygl region | E | Accepted |
| M41112 | Juvenile idiopathic scoliosis, cervical region | E | Accepted |
| M41113 | Juvenile idiopathic scoliosis, cervicothoracic region | E | Accepted |
| M41114 | Juvenile idiopathic scoliosis, thoracic region | E | Accepted |
| M41115 | Juvenile idiopathic scoliosis, thoracolumbar region | E | Accepted |
| M41116 | Juvenile idiopathic scoliosis, lumbar region | E | Accepted |
| M41117 | Juvenile idiopathic scoliosis, lumbosacral region | E | Accepted |
| M41119 | Juvenile idiopathic scoliosis, site unspecified | None | Cannot group |
| M41122 | Adolescent idiopathic scoliosis, cervical region | E | Accepted |
| M41123 | Adolescent idiopathic scoliosis, cervicothoracic region | E | Accepted |
| M41124 | Adolescent idiopathic scoliosis, thoracic region | E | Accepted |
| M41125 | Adolescent idiopathic scoliosis, thoracolumbar region | E | Accepted |
| M41126 | Adolescent idiopathic scoliosis, lumbar region | E | Accepted |
| M41127 | Adolescent idiopathic scoliosis, lumbosacral region | E | Accepted |
| M41129 | Adolescent idiopathic scoliosis, site unspecified | None | Cannot group |
| M4120 | Other idiopathic scoliosis, site unspecified | E | Accepted |
| M4122 | Other idiopathic scoliosis, cervical region | E | Accepted |
| M4123 | Other idiopathic scoliosis, cervicothoracic region | E | Accepted |
| M4124 | Other idiopathic scoliosis, thoracic region | E | Accepted |
| M4125 | Other idiopathic scoliosis, thoracolumbar region | E | Accepted |
| M4126 | Other idiopathic scoliosis, lumbar region | E | Accepted |
| M4127 | Other idiopathic scoliosis, lumbosacral region | E | Accepted |
| M4130 | Thoracogenic scoliosis, site unspecified | None | Cannot group |
| M4134 | Thoracogenic scoliosis, thoracic region | E | Accepted |
| M4135 | Thoracogenic scoliosis, thoracolumbar region | E | Accepted |
| M4140 | Neuromuscular scoliosis, site unspecified | None | Cannot group |
| M4141 | Neuromuscular scoliosis, occipito-atlanto-axial region | E | Accepted |
| M4142 | Neuromuscular scoliosis, cervical region | E | Accepted |
| M4143 | Neuromuscular scoliosis, cervicothoracic region | E | Accepted |
| M4144 | Neuromuscular scoliosis, thoracic region | E | Accepted |
| M4145 | Neuromuscular scoliosis, thoracolumbar region | E | Accepted |
| M4146 | Neuromuscular scoliosis, lumbar region | E | Accepted |
| M4147 | Neuromuscular scoliosis, lumbosacral region | E | Accepted |
| M4150 | Other secondary scoliosis, site unspecified | None | Not accepted |
| M4152 | Other secondary scoliosis, cervical region | None | Not accepted |
| M4153 | Other secondary scoliosis, cervicothoracic region | None | Not accepted |
| M4154 | Other secondary scoliosis, thoracic region | None | Not accepted |
| M4155 | Other secondary scoliosis, thoracolumbar region | None | Not accepted |
| M4156 | Other secondary scoliosis, lumbar region | None | Not accepted |
| M4157 | Other secondary scoliosis, lumbosacral region | None | Not accepted |
| M4180 | Other forms of scoliosis, site unspecified | None | Cannot group |
| M4182 | Other forms of scoliosis, cervical region | E | Accepted |
| M4183 | Other forms of scoliosis, cervicothoracic region | E | Accepted |
| M4184 | Other forms of scoliosis, thoracic region | E | Accepted |
| M4185 | Other forms of scoliosis, thoracolumbar region | E | Accepted |
| M4186 | Other forms of scoliosis, lumbar region | E | Accepted |
| M4187 | Other forms of scoliosis, lumbosacral region | E | Accepted |
| M419 | Scoliosis, unspecified | E | Accepted |
| M4200 | Juvenile osteochondrosis of spine, site unspecified | None | Cannot group |
| M4201 | Juvenile osteochondrosis of spine, occipt-atlan-ax region | E | Accepted |
| M4202 | Juvenile osteochondrosis of spine, cervical region | E | Accepted |
| M4203 | Juvenile osteochondrosis of spine, cervicothoracic region | E | Accepted |
| M4204 | Juvenile osteochondrosis of spine, thoracic region | E | Accepted |
| M4205 | Juvenile osteochondrosis of spine, thoracolumbar region | E | Accepted |
| M4206 | Juvenile osteochondrosis of spine, lumbar region | E | Accepted |
| M4207 | Juvenile osteochondrosis of spine, lumbosacral region | E | Accepted |
| M4208 | Juvenile osteochondrosis of spine, sacr/sacrocygl region | E | Accepted |
| M4209 | Juvenile osteochondrosis of spine, multiple sites in spine | E | Accepted |
| M4210 | Adult osteochondrosis of spine, site unspecified | None | Cannot group |
| M4211 | Adult osteochondrosis of spine, occipt-atlan-ax region | E | Accepted |
| M4212 | Adult osteochondrosis of spine, cervical region | E | Accepted |
| M4213 | Adult osteochondrosis of spine, cervicothoracic region | E | Accepted |
| M4214 | Adult osteochondrosis of spine, thoracic region | E | Accepted |
| M4215 | Adult osteochondrosis of spine, thoracolumbar region | E | Accepted |
| M4216 | Adult osteochondrosis of spine, lumbar region | E | Accepted |
| M4217 | Adult osteochondrosis of spine, lumbosacral region | E | Accepted |
| M4218 | Adult osteochondrosis of spine, sacr/sacrocygl region | E | Accepted |
| M4219 | Adult osteochondrosis of spine, multiple sites in spine | E | Accepted |
| M429 | Spinal osteochondrosis, unspecified | E | Accepted |
| M4300 | Spondylolysis, site unspecified | None | Cannot group |
| M4301 | Spondylolysis, occipito-atlanto-axial region | E | Accepted |
| M4302 | Spondylolysis, cervical region | E | Accepted |
| M4303 | Spondylolysis, cervicothoracic region | E | Accepted |
| M4304 | Spondylolysis, thoracic region | E | Accepted |
| M4305 | Spondylolysis, thoracolumbar region | E | Accepted |
| M4306 | Spondylolysis, lumbar region | E | Accepted |
| M4307 | Spondylolysis, lumbosacral region | E | Accepted |
| M4308 | Spondylolysis, sacral and sacrococcygeal region | E | Accepted |
| M4309 | Spondylolysis, multiple sites in spine | E | Accepted |
| M4310 | Spondylolisthesis, site unspecified | None | Cannot group |
| M4311 | Spondylolisthesis, occipito-atlanto-axial region | E | Accepted |
| M4312 | Spondylolisthesis, cervical region | E | Accepted |
| M4313 | Spondylolisthesis, cervicothoracic region | E | Accepted |
| M4314 | Spondylolisthesis, thoracic region | E | Accepted |
| M4315 | Spondylolisthesis, thoracolumbar region | E | Accepted |
| M4316 | Spondylolisthesis, lumbar region | E | Accepted |
| M4317 | Spondylolisthesis, lumbosacral region | E | Accepted |
| M4318 | Spondylolisthesis, sacral and sacrococcygeal region | E | Accepted |
| M4319 | Spondylolisthesis, multiple sites in spine | E | Accepted |
| M4320 | Fusion of spine, site unspecified | None | Cannot group |
| M4321 | Fusion of spine, occipito-atlanto-axial region | E | Accepted |
| M4322 | Fusion of spine, cervical region | E | Accepted |
| M4323 | Fusion of spine, cervicothoracic region | E | Accepted |
| M4324 | Fusion of spine, thoracic region | E | Accepted |
| M4325 | Fusion of spine, thoracolumbar region | E | Accepted |
| M4326 | Fusion of spine, lumbar region | E | Accepted |
| M4327 | Fusion of spine, lumbosacral region | E | Accepted |
| M4328 | Fusion of spine, sacral and sacrococcygeal region | E | Accepted |
| M433 | Recurrent atlantoaxial dislocation with myelopathy | E | Accepted |
| M434 | Other recurrent atlantoaxial dislocation | E | Accepted |
| M435X2 | Other recurrent vertebral dislocation, cervical region | E | Accepted |
| M435X3 | Oth recurrent vertebral dislocation, cervicothoracic region | E | Accepted |
| M435X4 | Other recurrent vertebral dislocation, thoracic region | E | Accepted |
| M435X5 | Other recurrent vertebral dislocation, thoracolumbar region | E | Accepted |
| M435X6 | Other recurrent vertebral dislocation, lumbar region | E | Accepted |
| M435X7 | Other recurrent vertebral dislocation, lumbosacral region | E | Accepted |
| M435X8 | Oth recurrent vertebral dislocation, sacr/sacrocygl region | E | Accepted |
| M435X9 | Other recurrent vertebral dislocation, site unspecified | None | Cannot group |
| M436 | Torticollis | E | Accepted |
| M438X1 | Oth deforming dorsopathies, occipito-atlanto-axial region | E | Accepted |
| M438X2 | Other specified deforming dorsopathies, cervical region | E | Accepted |
| M438X3 | Oth deforming dorsopathies, cervicothoracic region | E | Accepted |
| M438X4 | Other specified deforming dorsopathies, thoracic region | E | Accepted |
| M438X5 | Other specified deforming dorsopathies, thoracolumbar region | E | Accepted |
| M438X6 | Other specified deforming dorsopathies, lumbar region | E | Accepted |
| M438X7 | Other specified deforming dorsopathies, lumbosacral region | E | Accepted |
| M438X8 | Oth deforming dorsopathies, sacral and sacrococcygeal region | E | Accepted |
| M438X9 | Other specified deforming dorsopathies, site unspecified | None | Cannot group |
| M439 | Deforming dorsopathy, unspecified | None | Cannot group |
Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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.