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M46.0 ICD-10-CM Code: Spinal enthesopathy

Compare with another code for M46.0Check this code on a claim

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Official instructions
1 inclusion term

What these terms mean →

Not billable · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

IncludesWhat this code covers
  • Disorder of ligamentous or muscular attachments of spine

Where it sits Source: CMS/NCHS

Under:Chapter 13: Diseases of the Musculoskeletal System and Connective TissueM40-M54 DorsopathiesM45-M49 SpondylopathiesM46 Other inflammatory spondylopathies

Codes under M46.0 (10)

  • M46.00Spinal enthesopathy, site unspecifiedBillable
  • M46.01Spinal enthesopathy, occipito-atlanto-axial regionBillable
  • M46.02Spinal enthesopathy, cervical regionBillable
  • M46.03Spinal enthesopathy, cervicothoracic regionBillable
  • M46.04Spinal enthesopathy, thoracic regionBillable
  • M46.05Spinal enthesopathy, thoracolumbar regionBillable
  • M46.06Spinal enthesopathy, lumbar regionBillable
  • M46.07Spinal enthesopathy, lumbosacral regionBillable
  • M46.08Spinal enthesopathy, sacral and sacrococcygeal regionBillable
  • M46.09Spinal enthesopathy, multiple sites in spineBillable

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for M46.0 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Disorder of ligamentous or muscular attachments of spine

Coder workflow for M46.0

MedCoder structured workflow — derived from this code’s own official record

Before you code M46.0

  1. M46.0 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewM46.00, M46.01, M46.02, M46.03, M46.04, M46.05, M46.06, M46.07, M46.08, M46.09

    See the relationships section · Guide: How to choose an ICD-10-CM code →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath M46.0?
    Yes → Select that code and continue the checks below on its own page.
    No → M46.0 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.

    ReviewM46.00, M46.01, M46.02, M46.03, M46.04, M46.05, M46.06, M46.07, M46.08, M46.09

Report the code beneath M46.0 that the documentation supports, not M46.0 itself. Then confirm that code is valid for the date of service on its own page.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse M46.0 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of M46.0 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • M46.4— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Discitis, unspecified” takes M46.4; specificity in the record moves it back here.

    Full comparison: M46.0 vs M46.4 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Spinal enthesopathy is a non-billable ICD-10-CM category code (M46.0). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name M46.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: G55 — Nerve root and plexus compressions in diseases classified elsewhere (via M46.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 8 Excludes2 notes: M20 — Acquired deformities of fingers and toes (via M46.-), M20-M25 — Other joint disorders (M20-M25) (via M46.-), M21 — Other acquired deformities of limbs (via M46.-), M22 — Disorder of patella (via M46.-), M23 — Internal derangement of knee (via M46.-), M24 — Other specific joint derangements (via M46.-), M25 — Other joint disorder, not elsewhere classified (via M46.-), M77 — Other enthesopathies.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Contextual Map

Every relationship of M46.0 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.

Run M46.0 with these 9 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Can M46.0 be billed directly?

No. M46.0 (Spinal enthesopathy) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "M46.0 — Spinal enthesopathy." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/m46.0-spinal-enthesopathy

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Spinal enthesopathy

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to M46.0 in its code family, with their registry titles.

View all codes in the M46 family