M45.A ICD-10-CM Code: Non-radiographic axial spondyloarthritis
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M45.A in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- arthropathy in Reiter's disease (M02.3-) Compare M45.A vs M02.3 →
- juvenile (ankylosing) spondylitis (M08.1) Compare M45.A vs M08.1 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- Behçet's disease (M35.2) Compare M45.A vs M35.2 →
Frequently Compared Codes
The official Excludes notes on M45.A name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2022 — 2021-10-01Added to the code setNon-radiographic axial spondyloarthritisFY2022 changes
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of M45.A in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99) [Hierarchy]
- M45-M49 — Spondylopathies [Hierarchy]
Referenced by Excludes1 notes
- G55 — Nerve root and plexus compressions in diseases classified elsewhere [Excludes1](via M45.-): “nerve root compression (due to) (in) ankylosing spondylitis (M45.-)” · check together
- M05 — Rheumatoid arthritis with rheumatoid factor [Excludes1](via M45.-): “rheumatoid arthritis of spine (M45.-)” · check together
Referenced by Code First instructions
- J99 — Respiratory disorders in diseases classified elsewhere [Code First](via M45.-): “ankylosing spondylitis (M45.-)” · check together
Nearest codes (21)
- M45 — Ankylosing spondylitis [Sibling]
- M45.0 — Ankylosing spondylitis of multiple sites in spine [Sibling]
- M45.1 — Ankylosing spondylitis of occipito-atlanto-axial region [Sibling]
- M45.2 — Ankylosing spondylitis of cervical region [Sibling]
- M45.3 — Ankylosing spondylitis of cervicothoracic region [Sibling]
- M45.4 — Ankylosing spondylitis of thoracic region [Sibling]
- M45.5 — Ankylosing spondylitis of thoracolumbar region [Sibling]
- M45.6 — Ankylosing spondylitis lumbar region [Sibling]
- and 13 more
Change history
- FY2022 — Added to the code set [Change history]
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name M45.A or its code family.
2 Excludes1 notes across 2 chapters: G55 (via M45.-), M05 (via M45.-).
1 Code First instructions: J99 (via M45.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can M45.A be billed directly?
No. M45.A (Non-radiographic axial spondyloarthritis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M45.A in its code family, with their registry titles.
- M45.5 — Ankylosing spondylitis of thoracolumbar region
- M45.6 — Ankylosing spondylitis lumbar region
- M45.7 — Ankylosing spondylitis of lumbosacral region
- M45.8 — Ankylosing spondylitis sacral and sacrococcygeal region
- M45.9 — Ankylosing spondylitis of unspecified sites in spine
- M45.A0 — Non-radiographic axial spondyloarthritis of unspecified sites in spine
- M45.A1 — Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region
- M45.A2 — Non-radiographic axial spondyloarthritis of cervical region
- M45.A3 — Non-radiographic axial spondyloarthritis of cervicothoracic region
- M45.A4 — Non-radiographic axial spondyloarthritis of thoracic region