M49.87
Spondylopathy in diseases classified elsewhere, lumbosacral region
M49.87 (also written M4987) is a billable ICD-10-CM diagnosis code for spondylopathy in diseases classified elsewhere, lumbosacral region. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 10 codes in category M49 (Spondylopathies in diseases classified elsewhere). The Alphabetic Index lists it under 2 entries. Its coding notes include a Code first instruction, 10 Excludes1 entries and 10 Excludes2 entries.
Code first
If the underlying condition listed here is present and known, sequence it first.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
- curvature of spine in tuberculosis [Pott's] (A18.01)
- enteropathic arthropathies (M07.-)
- gonococcal spondylitis (A54.41)
- neuropathic [tabes dorsalis] spondylitis (A52.11)
- neuropathic spondylopathy in syringomyelia (G95.0)
- neuropathic spondylopathy in tabes dorsalis (A52.11)
- nonsyphilitic neuropathic spondylopathy NEC (G98.0)
- spondylitis in syphilis (acquired) (A52.77)
- tuberculous spondylitis (A18.01)
- typhoid fever spondylitis (A01.05)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (10 notes)
- 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.
Hospice: not accepted as primary
Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Manifestation code. Report the underlying condition first (see the Code first note).
Includes
Further defines or gives examples of the content of the category.
- curvature of spine in diseases classified elsewhere
- deformity of spine in diseases classified elsewhere
- kyphosis in diseases classified elsewhere
- scoliosis in diseases classified elsewhere
- spondylopathy in diseases classified elsewhere
Notes
Also from chapter/block level (1 note)
- 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 this code. 2 entries