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ICD-10-CM 2027

ICD-10 code for cervicothoracic region spondylolysis

M43.03

Spondylolysis, cervicothoracic region

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Spondylolysis (acquired) › cervicothoracic region”. Page updated September 29, 2026.

About coding cervicothoracic region spondylolysis

The ICD-10-CM code for cervicothoracic region spondylolysis is M43.03 (Spondylolysis, cervicothoracic region).

Within M43.0 (Spondylolysis), M43.03 is specifically for Spondylolysis, cervicothoracic region. Related codes cover site unspecified (M43.00), occipito-atlanto-axial region (M43.01), cervical region (M43.02), thoracic region (M43.04), thoracolumbar region (M43.05), lumbar region (M43.06), lumbosacral region (M43.07), sacral and sacrococcygeal region (M43.08) and 1 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 551 (Medical Back Problems with MCC, relative weight 1.6358) and DRG 552 (Medical Back Problems without MCC, relative weight 0.9584), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about cervicothoracic region spondylolysis ICD-10 codes

What is the ICD-10 code for cervicothoracic region spondylolysis?

M43.03 — Spondylolysis, cervicothoracic region.

Is M43.03 billable?

Yes. M43.03 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can M43.03 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict M43.03 as a principal diagnosis.

Is M43.03 a CC or MCC?

No. M43.03 is neither a CC nor an MCC under MS-DRG v44.0.