CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

M43.08 Quick jump to specific ICD-10 (CM) Code: M43.10


See Category: Diseases of the musculoskeletal system and connective tissue

See Header: Spondylolysis

ICD-10 (CM) Code and Descriptor

M43.09 Spondylolysis, multiple sites in spine

M4309 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
20.25% 13.29% 12.66% 11.39% 11.39% 6.96% 3.80% 4.43% 4.43% 0.63%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for M43.09*:

CPT
Description Number of Claims Sum Performed
97530
THERAPEUTIC ACTIVITIES 212 337
97110
THERAPEUTIC EXERCISES 137 198
97535
SELF CARE MNGMENT TRAINING 101 210
97116
GAIT TRAINING THERAPY 75 100
97112
NEUROMUSCULAR REEDUCATION 42 55
97140
MANUAL THERAPY 1/> REGIONS 21 22
72100
X-RAY EXAM L-S SPINE 2/3 VWS 14 14
97542
WHEELCHAIR MNGMENT TRAINING 10 14
72148
MRI LUMBAR SPINE W/O DYE 8 8
36415
COLL VENOUS BLD VENIPUNCTURE 6 6
97124
MASSAGE THERAPY 6 6
97166
OT EVAL MOD COMPLEX 45 MIN 5 5
99213
OFFICE O/P EST LOW 20 MIN 5 5
72110
X-RAY EXAM L-2 SPINE 4/>VWS 4 4
97162
PT EVAL MOD COMPLEX 30 MIN 4 4
G0467
FQHC VISIT, ESTAB PT 4 4
80061
LIPID PANEL 3 3
82306
VITAMIN D 25 HYDROXY 3 3
73502
X-RAY EXAM HIP UNI 2-3 VIEWS 3 3
Q3014
TELEHEALTH FACILITY FEE 3 3

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



M43.09 related to the following DRG Codes:

551-552






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.