ICD-10 Code M47.817 - Lumbosacral Spondylosis Billing Guide

A person catch of back pain one hand tak on table with chair ill with back pain for this treatment and billig proces use this M47.817 code.

Key Takeaways

  • ICD-10 Code M47.817 denotes lumbosacral spondylosis without myelopathy or radiculopathy.
  • This applies when spinal degeneration is present but without nerve compression.
  • The right documentation ensures compliance and supports timely reimbursement.

What Is ICD- Code 10 M47.817?

ICD-10 code M47.817 is assigned for lumbosacral spondylosis when there is degeneration of the spine without signs of myelopathy or radiculopathy. Clinically, spondylosis is a degenerative spine condition often associated with spinal osteoarthritis. It is commonly seen in older adults experiencing chronic low back pain.

This diagnosis code applies when imaging shows degenerative changes in the lumbosacral area but no evidence of nerve root compression or related complications. It should not be confused with radiculopathy-related codes or disc-specific conditions like degenerative disc disease.

Healthcare providers may also document this condition under terms like:

  • Lumbosacral spondylosis ICD-10
  • ICD-10 code for spondylosis of the lumbar spine
  • Lumbar spondylosis without radiculopathy ICD-10

Who Can Bill ICD-10 Code M47.817?

This diagnosis may be billed by:

  • Orthopedic specialists managing degenerative spine conditions.
  • Primary care providers treating patients with non-radicular chronic low back pain, ICD-10.
  • Pain management clinics administer injections or conservative therapies.
  • Physical therapists and rehabilitation centers provide mobility and strengthening programs.
  • Chiropractic services treating spinal osteoarthritis without nerve compression.

Services Covered Under ICD-10 Code M47.817

Depending on payer policies, the following services are typically covered:

  • Evaluation & management appointments for chronic lumbar back pain.
  • Imaging services, such as lumbar X-rays or MRI, to confirm spinal degeneration.
  • Physical therapy and rehabilitation for restoring function.
  • Pain management injections targeting degenerative lumbar regions.
  • Long-term follow-up visits for chronic care management.

Billable CPT Codes Associated With ICD-10 Code M47.817

When paired with M47.817, common CPT codes include:

  • 99213–99215: Outpatient office visits for established patients.
  • 72100–72148: Imaging studies of the lumbar spine.
  • 20552–20553: Injections for soft tissue or trigger points.
  • 62321–62323: Epidural or transformational injections (lumbar region).
  • 97110–97140: Physical therapy involvement for firming and mobility.

These CPT codes for lumbar spine conditions should always be linked correctly with the diagnosis to avoid denials.

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Modifier Use with ICD-10 Code M47.817

Proper use of modifiers ensures accurate claim submission:

  • Modifier -25: For significant, separately identifiable E/M services with procedures.
  • Modifier -59: For distinct procedural services when multiple treatments are performed.
  • Modifier -XU: For unusual, non-overlapping services that differ from standard procedures.

Correct ICD-10 to CPT charting for spondylosis is important to reduce payer denials.

Common Billing Mistakes to Avoid

  • Using M47.817 when radiculopathy or myelopathy is present—these require different codes.
  • Overplaying lumbar spondylosis ICD-10 as general “low back pain” (M54.5).
  • Omitting required modifiers when medical billing for multiple services.
  • Inadequate documentation of imaging or clinical findings to support medical necessity.

Reimbursement Considerations

Payers often require documented proof, such as imaging reports, to support lumbosacral spondylosis ICD-10 claims. Providers should also distinguish between degenerative disc disease and spondylosis, as miscoding can result in denials.

Thorough documentation ensures practices comply with payer rules while supporting maximum reimbursement.

Are You Being Underpaid for Come across With ICD-10 Code M47.817?

At CuresMB, many practices are underpaid because of incorrect ICD-10 coding for spine conditions. Errors distinguishing lumbosacral spondylosis ICD-10 from related codes often lead to denials, delayed payments, and revenue leakage.

Our team specializes in:

  • Auditing spine-related claims.
  • Ensuring correct ICD-10 to CPT pairings.
  • Reducing denial risks with proper modifier usage.
  • Optimizing your revenue cycle management for spine care practices.

Contact CuresMB today for a free consultation and protect your practice from underpayments.

Difference between ICD-10 Code M47.817 and Related Codes

ICD-10 Code

Condition

Use Case

M47.817

Lumbosacral spondylosis without myelopathy/radiculopathy

Degeneration in lumbosacral region, no nerve involvement

M47.816

Lumbar spondylosis without radiculopathy

Lumbar degeneration, no radiculopathy

M47.26–M47.27

Spondylosis with radiculopathy

Use when nerve root compression is documented

M47.12

Cervical spondylosis with myelopathy

Cervical region with spinal cord involvement

Choosing the most specific code, such as lumbar spondylosis without radiculopathy, ICD-10, is critical for compliance and payment accuracy.

Final Thoughts

ICD-10 Code M47.817 is crucial for accurately coding lumbosacral spondylosis without nerve involvement. The right documentation and precise coding confirm compliance, reduce claim denials, and optimize reimbursements.

At Cures, we help providers streamline coding, eliminate errors, and capture every dollar their practice deserves. With our billing expertise, you can focus on patient care while we manage your revenue cycle.

Frequently Asked Questions (FAQs)

It indicates lumbosacral spondylosis without myelopathy or radiculopathy.

That would be M47.816, specific to the lumbar region.

Yes, but it applies specifically to the lumbosacral spine region.

No. Spondylosis denotes to spinal combined degeneration, while degenerative disc disease affects the intervertebral discs.

Most denials occur due to lack of documentation, missing modifiers, or incorrect use of a more general pain code.

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