M48.52XG

Collapsed vertebra, not elsewhere classified, cervical region, subsequent encounter for fracture with delayed healing

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M45–M49 Spondylopathies

BillableComplete code, valid to report

M48.52XG (also written M4852XG) is a billable ICD-10-CM diagnosis code for collapsed vertebra, not elsewhere classified, cervical region, subsequent encounter for fracture with delayed healing. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 119 codes in category M48 (Other spondylopathies). The Alphabetic Index lists it under 2 entries. Its 7th character, G, means subsequent encounter for fracture with delayed healing. Its coding notes include 8 Excludes1 entries and 10 Excludes2 entries.

7th character

Category M48.5 requires a 7th character. M48.52 has only 5 characters, so a placeholder X fills the 6th position.

Assembled code M48.52XG Open code

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from M48.5 Collapsed vertebra, not elsewhere classified
  • current injury - see Injury of spine, by body region
  • fatigue fracture of vertebra (M48.4)
  • pathological fracture of vertebra due to neoplasm (M84.58)
  • pathological fracture of vertebra due to other diagnosis (M84.68)
  • pathological fracture of vertebra due to osteoporosis (M80.-)
  • pathological fracture NOS (M84.4-)
  • stress fracture of vertebra (M48.4-)
  • traumatic fracture of vertebra (S12.-, S22.-, S32.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Musculoskeletal Rehabilitation clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Alphabetic Index terms

Terms the official Alphabetic Index lists for M48.52. This code adds the 7th character. 2 entries