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

M45-M49 — Spondylopathies

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

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

Codes in range

264

No clinical group

38

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

226 of the 264 codes in M45-M49 group to Musculoskeletal Rehabilitation. A further 38 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in M45-M49

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in M45-M49

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
M450Ankylosing spondylitis of multiple sites in spineECan lead a claim
M451Ankylosing spondylitis of occipito-atlanto-axial regionECan lead a claim
M452Ankylosing spondylitis of cervical regionECan lead a claim
M453Ankylosing spondylitis of cervicothoracic regionECan lead a claim
M454Ankylosing spondylitis of thoracic regionECan lead a claim
M455Ankylosing spondylitis of thoracolumbar regionECan lead a claim
M456Ankylosing spondylitis lumbar regionECan lead a claim
M457Ankylosing spondylitis of lumbosacral regionECan lead a claim
M458Ankylosing spondylitis sacral and sacrococcygeal regionECan lead a claim
M459Ankylosing spondylitis of unspecified sites in spineNoneCannot lead a claim
M45A0Non-radiographic axial spondyloarthritis unsp site in spinNoneCannot lead a claim
M45A1Non-radiographic axial spondyloarthritis occipt-atlan-ax rgnECan lead a claim
M45A2Non-radiographic axial spondyloarthritis of cervical regionECan lead a claim
M45A3Non-radiographic axial spondyloarthritis of cervicothor rgnECan lead a claim
M45A4Non-radiographic axial spondyloarthritis of thoracic regionECan lead a claim
M45A5Non-radiographic axial spondyloarthritis of thrclm regionECan lead a claim
M45A6Non-radiographic axial spondyloarthritis of lumbar regionECan lead a claim
M45A7Non-radiographic axial spondyloarthritis of lumbosacr regionECan lead a claim
M45A8Non-radiographic axial spondyloarthritis sacr/sacrocygl rgnECan lead a claim
M45ABNon-radiographic axial spondyloarthritis mult site in spineECan lead a claim
M4600Spinal enthesopathy, site unspecifiedNoneCannot lead a claim
M4601Spinal enthesopathy, occipito-atlanto-axial regionECan lead a claim
M4602Spinal enthesopathy, cervical regionECan lead a claim
M4603Spinal enthesopathy, cervicothoracic regionECan lead a claim
M4604Spinal enthesopathy, thoracic regionECan lead a claim
M4605Spinal enthesopathy, thoracolumbar regionECan lead a claim
M4606Spinal enthesopathy, lumbar regionECan lead a claim
M4607Spinal enthesopathy, lumbosacral regionECan lead a claim
M4608Spinal enthesopathy, sacral and sacrococcygeal regionECan lead a claim
M4609Spinal enthesopathy, multiple sites in spineECan lead a claim
M461Sacroiliitis, not elsewhere classifiedECan lead a claim
M4620Osteomyelitis of vertebra, site unspecifiedNoneCannot lead a claim
M4621Osteomyelitis of vertebra, occipito-atlanto-axial regionECan lead a claim
M4622Osteomyelitis of vertebra, cervical regionECan lead a claim
M4623Osteomyelitis of vertebra, cervicothoracic regionECan lead a claim
M4624Osteomyelitis of vertebra, thoracic regionECan lead a claim
M4625Osteomyelitis of vertebra, thoracolumbar regionECan lead a claim
M4626Osteomyelitis of vertebra, lumbar regionECan lead a claim
M4627Osteomyelitis of vertebra, lumbosacral regionECan lead a claim
M4628Osteomyelitis of vertebra, sacral and sacrococcygeal regionECan lead a claim
M4630Infection of intervertebral disc (pyogenic), site unspNoneCannot lead a claim
M4631Infection of intvrt disc (pyogenic), occipt-atlan-ax regionECan lead a claim
M4632Infection of intervertebral disc (pyogenic), cervical regionECan lead a claim
M4633Infection of intvrt disc (pyogenic), cervicothor regionECan lead a claim
M4634Infection of intervertebral disc (pyogenic), thoracic regionECan lead a claim
M4635Infection of intvrt disc (pyogenic), thoracolumbar regionECan lead a claim
M4636Infection of intervertebral disc (pyogenic), lumbar regionECan lead a claim
M4637Infection of intvrt disc (pyogenic), lumbosacral regionECan lead a claim
M4638Infection of intvrt disc (pyogenic), sacr/sacrocygl regionECan lead a claim
M4639Infection of intvrt disc (pyogenic), multiple sites in spineECan lead a claim
M4640Discitis, unspecified, site unspecifiedNoneCannot lead a claim
M4641Discitis, unspecified, occipito-atlanto-axial regionECan lead a claim
M4642Discitis, unspecified, cervical regionECan lead a claim
M4643Discitis, unspecified, cervicothoracic regionECan lead a claim
M4644Discitis, unspecified, thoracic regionECan lead a claim
M4645Discitis, unspecified, thoracolumbar regionECan lead a claim
M4646Discitis, unspecified, lumbar regionECan lead a claim
M4647Discitis, unspecified, lumbosacral regionECan lead a claim
M4648Discitis, unspecified, sacral and sacrococcygeal regionECan lead a claim
M4649Discitis, unspecified, multiple sites in spineECan lead a claim
M4650Other infective spondylopathies, site unspecifiedNoneCannot lead a claim
M4651Oth infective spondylopathies, occipito-atlanto-axial regionECan lead a claim
M4652Other infective spondylopathies, cervical regionECan lead a claim
M4653Other infective spondylopathies, cervicothoracic regionECan lead a claim
M4654Other infective spondylopathies, thoracic regionECan lead a claim
M4655Other infective spondylopathies, thoracolumbar regionECan lead a claim
M4656Other infective spondylopathies, lumbar regionECan lead a claim
M4657Other infective spondylopathies, lumbosacral regionECan lead a claim
M4658Oth infective spondylopathies, sacr/sacrocygl regionECan lead a claim
M4659Other infective spondylopathies, multiple sites in spineECan lead a claim
M4680Oth inflammatory spondylopathies, site unspecifiedNoneCannot lead a claim
M4681Oth inflammatory spondylopathies, occipt-atlan-ax regionECan lead a claim
M4682Oth inflammatory spondylopathies, cervical regionECan lead a claim
M4683Oth inflammatory spondylopathies, cervicothoracic regionECan lead a claim
M4684Oth inflammatory spondylopathies, thoracic regionECan lead a claim
M4685Oth inflammatory spondylopathies, thoracolumbar regionECan lead a claim
M4686Other specified inflammatory spondylopathies, lumbar regionECan lead a claim
M4687Oth inflammatory spondylopathies, lumbosacral regionECan lead a claim
M4688Oth inflammatory spondylopathies, sacr/sacrocygl regionECan lead a claim
M4689Oth inflammatory spondylopathies, multiple sites in spineECan lead a claim
M4690Unspecified inflammatory spondylopathy, site unspecifiedNoneCannot lead a claim
M4691Unsp inflammatory spondylopathy, occipt-atlan-ax regionECan lead a claim
M4692Unspecified inflammatory spondylopathy, cervical regionECan lead a claim
M4693Unsp inflammatory spondylopathy, cervicothoracic regionECan lead a claim
M4694Unspecified inflammatory spondylopathy, thoracic regionECan lead a claim
M4695Unspecified inflammatory spondylopathy, thoracolumbar regionECan lead a claim
M4696Unspecified inflammatory spondylopathy, lumbar regionECan lead a claim
M4697Unspecified inflammatory spondylopathy, lumbosacral regionECan lead a claim
M4698Unsp inflammatory spondylopathy, sacr/sacrocygl regionECan lead a claim
M4699Unsp inflammatory spondylopathy, multiple sites in spineECan lead a claim
M47011Anterior spinal artery comprsn synd, occipt-atlan-ax regionECan lead a claim
M47012Anterior spinal artery comprsn syndromes, cervical regionECan lead a claim
M47013Anterior spinal artery comprsn syndromes, cervicothor regionECan lead a claim
M47014Anterior spinal artery comprsn syndromes, thoracic regionECan lead a claim
M47015Anterior spinal artery comprsn syndromes, thoracolum regionECan lead a claim
M47016Anterior spinal artery compression syndromes, lumbar regionECan lead a claim
M47019Anterior spinal artery compression syndromes, site unspNoneCannot lead a claim
M47021Verteb art compression syndromes, occipt-atlan-ax regionECan lead a claim
M47022Vertebral artery compression syndromes, cervical regionECan lead a claim
M47029Vertebral artery compression syndromes, site unspecifiedNoneCannot lead a claim
M4710Other spondylosis with myelopathy, site unspecifiedNoneCannot lead a claim
M4711Oth spondylosis w myelopathy, occipito-atlanto-axial regionECan lead a claim
M4712Other spondylosis with myelopathy, cervical regionECan lead a claim
M4713Other spondylosis with myelopathy, cervicothoracic regionECan lead a claim
M4714Other spondylosis with myelopathy, thoracic regionECan lead a claim
M4715Other spondylosis with myelopathy, thoracolumbar regionECan lead a claim
M4716Other spondylosis with myelopathy, lumbar regionECan lead a claim
M4720Other spondylosis with radiculopathy, site unspecifiedNoneCannot lead a claim
M4721Oth spondylosis w radiculopathy, occipt-atlan-ax regionECan lead a claim
M4722Other spondylosis with radiculopathy, cervical regionECan lead a claim
M4723Other spondylosis with radiculopathy, cervicothoracic regionECan lead a claim
M4724Other spondylosis with radiculopathy, thoracic regionECan lead a claim
M4725Other spondylosis with radiculopathy, thoracolumbar regionECan lead a claim
M4726Other spondylosis with radiculopathy, lumbar regionECan lead a claim
M4727Other spondylosis with radiculopathy, lumbosacral regionECan lead a claim
M4728Oth spondylosis w radiculopathy, sacr/sacrocygl regionECan lead a claim
M47811Spondyls w/o myelpath or radiculopathy, occipt-atlan-ax rgnECan lead a claim
M47812Spondylosis w/o myelopathy or radiculopathy, cervical regionECan lead a claim
M47813Spondyls w/o myelopathy or radiculopathy, cervicothor regionECan lead a claim
M47814Spondylosis w/o myelopathy or radiculopathy, thoracic regionECan lead a claim
M47815Spondyls w/o myelopathy or radiculopathy, thoracolum regionECan lead a claim
M47816Spondylosis w/o myelopathy or radiculopathy, lumbar regionECan lead a claim
M47817Spondyls w/o myelopathy or radiculopathy, lumbosacr regionECan lead a claim
M47818Spondyls w/o myelpath or radiculopathy, sacr/sacrocygl rgnECan lead a claim
M47819Spondylosis without myelopathy or radiculopathy, site unspNoneCannot lead a claim
M47891Other spondylosis, occipito-atlanto-axial regionECan lead a claim
M47892Other spondylosis, cervical regionECan lead a claim
M47893Other spondylosis, cervicothoracic regionECan lead a claim
M47894Other spondylosis, thoracic regionECan lead a claim
M47895Other spondylosis, thoracolumbar regionECan lead a claim
M47896Other spondylosis, lumbar regionECan lead a claim
M47897Other spondylosis, lumbosacral regionECan lead a claim
M47898Other spondylosis, sacral and sacrococcygeal regionECan lead a claim
M47899Other spondylosis, site unspecifiedNoneCannot lead a claim
M479Spondylosis, unspecifiedNoneCannot lead a claim
M4800Spinal stenosis, site unspecifiedNoneCannot lead a claim
M4801Spinal stenosis, occipito-atlanto-axial regionECan lead a claim
M4802Spinal stenosis, cervical regionECan lead a claim
M4803Spinal stenosis, cervicothoracic regionECan lead a claim
M4804Spinal stenosis, thoracic regionECan lead a claim
M4805Spinal stenosis, thoracolumbar regionECan lead a claim
M48061Spinal stenosis, lumbar region without neurogenic claudECan lead a claim
M48062Spinal stenosis, lumbar region with neurogenic claudicationECan lead a claim
M4807Spinal stenosis, lumbosacral regionECan lead a claim
M4808Spinal stenosis, sacral and sacrococcygeal regionECan lead a claim
M4810Ankylosing hyperostosis [Forestier], site unspecifiedECan lead a claim
M4811Ankylosing hyperostosis, occipito-atlanto-axial regionECan lead a claim
M4812Ankylosing hyperostosis [Forestier], cervical regionECan lead a claim
M4813Ankylosing hyperostosis [Forestier], cervicothoracic regionECan lead a claim
M4814Ankylosing hyperostosis [Forestier], thoracic regionECan lead a claim
M4815Ankylosing hyperostosis [Forestier], thoracolumbar regionECan lead a claim
M4816Ankylosing hyperostosis [Forestier], lumbar regionECan lead a claim
M4817Ankylosing hyperostosis [Forestier], lumbosacral regionECan lead a claim
M4818Ankylosing hyperostosis, sacral and sacrococcygeal regionECan lead a claim
M4819Ankylosing hyperostosis [Forestier], multiple sites in spineECan lead a claim
M4820Kissing spine, site unspecifiedNoneCannot lead a claim
M4821Kissing spine, occipito-atlanto-axial regionECan lead a claim
M4822Kissing spine, cervical regionECan lead a claim
M4823Kissing spine, cervicothoracic regionECan lead a claim
M4824Kissing spine, thoracic regionECan lead a claim
M4825Kissing spine, thoracolumbar regionECan lead a claim
M4826Kissing spine, lumbar regionECan lead a claim
M4827Kissing spine, lumbosacral regionECan lead a claim
M4830Traumatic spondylopathy, site unspecifiedNoneCannot lead a claim
M4831Traumatic spondylopathy, occipito-atlanto-axial regionECan lead a claim
M4832Traumatic spondylopathy, cervical regionECan lead a claim
M4833Traumatic spondylopathy, cervicothoracic regionECan lead a claim
M4834Traumatic spondylopathy, thoracic regionECan lead a claim
M4835Traumatic spondylopathy, thoracolumbar regionECan lead a claim
M4836Traumatic spondylopathy, lumbar regionECan lead a claim
M4837Traumatic spondylopathy, lumbosacral regionECan lead a claim
M4838Traumatic spondylopathy, sacral and sacrococcygeal regionECan lead a claim
M4840XAFatigue fracture of vertebra, site unsp, init for fxNoneCannot lead a claim
M4840XDFatigue fx vertebra, site unsp, subs for fx w routn healNoneCannot lead a claim
M4840XGFatigue fx vertebra, site unsp, subs for fx w delay healNoneCannot lead a claim
M4840XSFatigue fracture of vertebra, site unsp, sequela of fractureNoneCannot lead a claim
M4841XAFatigue fracture of vertebra, occipt-atlan-ax region, initECan lead a claim
M4841XDFatigue fx vert, occipt-atlan-ax rgn, 7thDECan lead a claim
M4841XGFatigue fx vert, occipt-atlan-ax rgn, 7thGECan lead a claim
M4841XSFatigue fracture of vertebra, occipt-atlan-ax region, sqlaECan lead a claim
M4842XAFatigue fracture of vertebra, cervical region, init for fxECan lead a claim
M4842XDFatigue fx vertebra, cerv region, subs for fx w routn healECan lead a claim
M4842XGFatigue fx vertebra, cerv region, subs for fx w delay healECan lead a claim
M4842XSFatigue fracture of vertebra, cervical region, sqlaECan lead a claim
M4843XAFatigue fracture of vertebra, cervicothoracic region, initECan lead a claim
M4843XDFatigue fx vert, cervicothor rgn, subs for fx w routn healECan lead a claim
M4843XGFatigue fx vert, cervicothor rgn, subs for fx w delay healECan lead a claim
M4843XSFatigue fracture of vertebra, cervicothoracic region, sqlaECan lead a claim
M4844XAFatigue fracture of vertebra, thoracic region, init for fxECan lead a claim
M4844XDFatigue fx vertebra, thor region, subs for fx w routn healECan lead a claim
M4844XGFatigue fx vertebra, thor region, subs for fx w delay healECan lead a claim
M4844XSFatigue fracture of vertebra, thoracic region, sqlaECan lead a claim
M4845XAFatigue fracture of vertebra, thoracolumbar region, initECan lead a claim
M4845XDFatigue fx vertebra, thrclm region, subs for fx w routn healECan lead a claim
M4845XGFatigue fx vertebra, thrclm region, subs for fx w delay healECan lead a claim
M4845XSFatigue fracture of vertebra, thoracolumbar region, sqlaECan lead a claim
M4846XAFatigue fracture of vertebra, lumbar region, init for fxECan lead a claim
M4846XDFatigue fx vertebra, lumbar region, subs for fx w routn healECan lead a claim
M4846XGFatigue fx vertebra, lumbar region, subs for fx w delay healECan lead a claim
M4846XSFatigue fracture of vertebra, lumbar region, sqlaECan lead a claim
M4847XAFatigue fracture of vertebra, lumbosacral region, initECan lead a claim
M4847XDFatigue fx vert, lumbosacr region, subs for fx w routn healECan lead a claim
M4847XGFatigue fx vert, lumbosacr region, subs for fx w delay healECan lead a claim
M4847XSFatigue fracture of vertebra, lumbosacral region, sqlaECan lead a claim
M4848XAFatigue fracture of vertebra, sacr/sacrocygl region, initECan lead a claim
M4848XDFatigue fx vert, sacr/sacrocygl rgn, 7thDECan lead a claim
M4848XGFatigue fx vert, sacr/sacrocygl rgn, 7thGECan lead a claim
M4848XSFatigue fracture of vertebra, sacr/sacrocygl region, sqlaECan lead a claim
M4850XACollapsed vertebra, NEC, site unsp, initNoneCannot lead a claim
M4850XDCollapsed vertebra, NEC, site unsp, subs for fx w routn healNoneCannot lead a claim
M4850XGCollapsed vertebra, NEC, site unsp, subs for fx w delay healNoneCannot lead a claim
M4850XSCollapsed vertebra, NEC, site unsp, sequela of fractureNoneCannot lead a claim
M4851XACollapsed vertebra, NEC, occipito-atlanto-axial region, initECan lead a claim
M4851XDCollapsed vert, NEC, occipt-atlan-ax rgn, 7thDECan lead a claim
M4851XGCollapsed vert, NEC, occipt-atlan-ax rgn, 7thGECan lead a claim
M4851XSCollapsed vertebra, NEC, occipt-atlan-ax region, sqlaECan lead a claim
M4852XACollapsed vertebra, NEC, cervical region, initECan lead a claim
M4852XDCollapsed vert, NEC, cerv region, subs for fx w routn healECan lead a claim
M4852XGCollapsed vert, NEC, cerv region, subs for fx w delay healECan lead a claim
M4852XSCollapsed vertebra, NEC, cervical region, sqlaECan lead a claim
M4853XACollapsed vertebra, NEC, cervicothoracic region, initECan lead a claim
M4853XDCollapsed vert, NEC, cervicothor rgn, 7thDECan lead a claim
M4853XGCollapsed vert, NEC, cervicothor rgn, 7thGECan lead a claim
M4853XSCollapsed vertebra, NEC, cervicothoracic region, sqlaECan lead a claim
M4854XACollapsed vertebra, NEC, thoracic region, initECan lead a claim
M4854XDCollapsed vert, NEC, thor region, subs for fx w routn healECan lead a claim
M4854XGCollapsed vert, NEC, thor region, subs for fx w delay healECan lead a claim
M4854XSCollapsed vertebra, NEC, thoracic region, sqlaECan lead a claim
M4855XACollapsed vertebra, NEC, thoracolumbar region, initECan lead a claim
M4855XDCollapsed vert, NEC, thrclm region, subs for fx w routn healECan lead a claim
M4855XGCollapsed vert, NEC, thrclm region, subs for fx w delay healECan lead a claim
M4855XSCollapsed vertebra, NEC, thoracolumbar region, sqlaECan lead a claim
M4856XACollapsed vertebra, NEC, lumbar region, initECan lead a claim
M4856XDCollapsed vert, NEC, lumbar region, subs for fx w routn healECan lead a claim
M4856XGCollapsed vert, NEC, lumbar region, subs for fx w delay healECan lead a claim
M4856XSCollapsed vertebra, NEC, lumbar region, sequela of fractureECan lead a claim
M4857XACollapsed vertebra, NEC, lumbosacral region, initECan lead a claim
M4857XDCollapsed vert, NEC, lumbosacr rgn, subs for fx w routn healECan lead a claim
M4857XGCollapsed vert, NEC, lumbosacr rgn, subs for fx w delay healECan lead a claim
M4857XSCollapsed vertebra, NEC, lumbosacral region, sqlaECan lead a claim
M4858XACollapsed vertebra, NEC, sacr/sacrocygl region, initECan lead a claim
M4858XDCollapsed vert, NEC, sacr/sacrocygl rgn, 7thDECan lead a claim
M4858XGCollapsed vert, NEC, sacr/sacrocygl rgn, 7thGECan lead a claim
M4858XSCollapsed vertebra, NEC, sacr/sacrocygl region, sqlaECan lead a claim
M488X1Oth spondylopathies, occipito-atlanto-axial regionECan lead a claim
M488X2Other specified spondylopathies, cervical regionECan lead a claim
M488X3Other specified spondylopathies, cervicothoracic regionECan lead a claim
M488X4Other specified spondylopathies, thoracic regionECan lead a claim
M488X5Other specified spondylopathies, thoracolumbar regionECan lead a claim
M488X6Other specified spondylopathies, lumbar regionECan lead a claim
M488X7Other specified spondylopathies, lumbosacral regionECan lead a claim
M488X8Oth spondylopathies, sacral and sacrococcygeal regionECan lead a claim
M488X9Other specified spondylopathies, site unspecifiedNoneCannot lead a claim
M489Spondylopathy, unspecifiedECan lead a claim
M4980Spondylopathy in diseases classified elsewhere, site unspNoneCannot lead a claim
M4981Spond in diseases classd elswhr, occipt-atlan-ax regionNoneCannot lead a claim
M4982Spondylopathy in diseases classd elswhr, cervical regionNoneCannot lead a claim
M4983Spondylopathy in diseases classd elswhr, cervicothor regionNoneCannot lead a claim
M4984Spondylopathy in diseases classd elswhr, thoracic regionNoneCannot lead a claim
M4985Spond in diseases classd elswhr, thoracolumbar regionNoneCannot lead a claim
M4986Spondylopathy in diseases classd elswhr, lumbar regionNoneCannot lead a claim
M4987Spondylopathy in diseases classd elswhr, lumbosacral regionNoneCannot lead a claim
M4988Spond in diseases classd elswhr, sacr/sacrocygl regionNoneCannot lead a claim
M4989Spond in diseases classd elswhr, multiple sites in spineNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.

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