M47 ICD-10-CM Code: Spondylosis
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 2 inclusion terms
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for M47 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- arthrosis or osteoarthritis of spine
- degeneration of facet joints
Coder workflow for M47
MedCoder structured workflow — derived from this code’s own official record
Before you code M47
- M47 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).
ReviewM47.0, M47.1, M47.2, M47.8, M47.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath M47?
Yes → Select that code and continue the checks below on its own page.
No → M47 cannot be reported as written; query for the specificity its subcategory needs.
Consider M47. Then confirm the code is valid for the date of service in the Verify section.
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.
Code Overview
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
- Not billable as written — a more specific code is required: M47.011, M47.012, M47.013, M47.014, M47.015.
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 structured relationships — computed from published CMS and AHRQ datasets
Other codes that name M47 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: G54 — Nerve root and plexus disorders.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 13 Excludes2 notes: M15 — Polyosteoarthritis, M15-M19 — Osteoarthritis (M15-M19), M16 — Osteoarthritis of hip, M17 — Osteoarthritis of knee, M18 — Osteoarthritis of first carpometacarpal joint, M19 — Other and unspecified osteoarthritis, M20 — Acquired deformities of fingers and toes, M20-M25 — Other joint disorders (M20-M25), M21 — Other acquired deformities of limbs, M22 — Disorder of patella, M23 — Internal derangement of knee, M24 — Other specific joint derangements, M25 — Other joint disorder, not elsewhere classified.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of M47 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 M47 with these 9 related codes in Claim Check
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M45-M49 — Spondylopathies[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- G54 — Nerve root and plexus disorders[Excludes1]: “spondylosis (M47.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes (13)
- M15 — Polyosteoarthritis[Excludes2]: “osteoarthritis of spine (M47.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M15-M19 — Osteoarthritis (M15-M19)[Excludes2]: “osteoarthritis of spine (M47.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M16 — Osteoarthritis of hip[Excludes2]: “osteoarthritis of spine (M47.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M17 — Osteoarthritis of knee[Excludes2]: “osteoarthritis of spine (M47.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M18 — Osteoarthritis of first carpometacarpal joint[Excludes2]: “osteoarthritis of spine (M47.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M19 — Other and unspecified osteoarthritis[Excludes2]: “arthrosis of spine (M47.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M20 — Acquired deformities of fingers and toes[Excludes2]: “joints of the spine (M40-M54)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M20-M25 — Other joint disorders (M20-M25)[Excludes2]: “joints of the spine (M40-M54)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 5 more
Nearest codes (53)
- M47.0 — Anterior spinal and vertebral artery compression syndromes[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M47.01 — Anterior spinal artery compression syndromes[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M47.011 — Anterior spinal artery compression syndromes, occipito-atlanto-axial region[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M47.012 — Anterior spinal artery compression syndromes, cervical region[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M47.013 — Anterior spinal artery compression syndromes, cervicothoracic region[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M47.014 — Anterior spinal artery compression syndromes, thoracic region[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M47.015 — Anterior spinal artery compression syndromes, thoracolumbar region[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M47.016 — Anterior spinal artery compression syndromes, lumbar region[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 45 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can M47 be billed directly?
No. M47 (Spondylosis) 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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 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 structured 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 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.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
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. "M47 — Spondylosis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/m47-spondylosis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionSpondylosis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 M47 in its code family, with their registry titles.
- M47.0 — Anterior spinal and vertebral artery compression syndromes
- M47.01 — Anterior spinal artery compression syndromes
- M47.011 — Anterior spinal artery compression syndromes, occipito-atlanto-axial region
- M47.012 — Anterior spinal artery compression syndromes, cervical region
- M47.013 — Anterior spinal artery compression syndromes, cervicothoracic region
- M47.014 — Anterior spinal artery compression syndromes, thoracic region
- M47.015 — Anterior spinal artery compression syndromes, thoracolumbar region
- M47.016 — Anterior spinal artery compression syndromes, lumbar region
- M47.019 — Anterior spinal artery compression syndromes, site unspecified
- M47.02 — Vertebral artery compression syndromes
- M47.021 — Vertebral artery compression syndromes, occipito-atlanto-axial region
- M47.022 — Vertebral artery compression syndromes, cervical region
- M47.029 — Vertebral artery compression syndromes, site unspecified
- M47.1 — Other spondylosis with myelopathy
- M47.10 — Other spondylosis with myelopathy, site unspecified
- M47.11 — Other spondylosis with myelopathy, occipito-atlanto-axial region
- M47.12 — Other spondylosis with myelopathy, cervical region
- M47.13 — Other spondylosis with myelopathy, cervicothoracic region
- M47.14 — Other spondylosis with myelopathy, thoracic region
- M47.15 — Other spondylosis with myelopathy, thoracolumbar region
- M47.16 — Other spondylosis with myelopathy, lumbar region
- M47.2 — Other spondylosis with radiculopathy
- M47.20 — Other spondylosis with radiculopathy, site unspecified
- M47.21 — Other spondylosis with radiculopathy, occipito-atlanto-axial region
- M47.22 — Other spondylosis with radiculopathy, cervical region
- M47.23 — Other spondylosis with radiculopathy, cervicothoracic region
- M47.24 — Other spondylosis with radiculopathy, thoracic region
- M47.25 — Other spondylosis with radiculopathy, thoracolumbar region
- M47.26 — Other spondylosis with radiculopathy, lumbar region
- M47.27 — Other spondylosis with radiculopathy, lumbosacral region
- M47.28 — Other spondylosis with radiculopathy, sacral and sacrococcygeal region
- M47.8 — Other spondylosis
- M47.81 — Spondylosis without myelopathy or radiculopathy
- M47.811 — Spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region
- M47.812 — Spondylosis without myelopathy or radiculopathy, cervical region
- M47.813 — Spondylosis without myelopathy or radiculopathy, cervicothoracic region
- M47.814 — Spondylosis without myelopathy or radiculopathy, thoracic region
- M47.815 — Spondylosis without myelopathy or radiculopathy, thoracolumbar region
- M47.816 — Spondylosis without myelopathy or radiculopathy, lumbar region
- M47.817 — Spondylosis without myelopathy or radiculopathy, lumbosacral region
- M47.818 — Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region
- M47.819 — Spondylosis without myelopathy or radiculopathy, site unspecified
- M47.89 — Other spondylosis
- M47.891 — Other spondylosis, occipito-atlanto-axial region
- M47.892 — Other spondylosis, cervical region
- M47.893 — Other spondylosis, cervicothoracic region
- M47.894 — Other spondylosis, thoracic region
- M47.895 — Other spondylosis, thoracolumbar region
- M47.896 — Other spondylosis, lumbar region
- M47.897 — Other spondylosis, lumbosacral region
- M47.898 — Other spondylosis, sacral and sacrococcygeal region
- M47.899 — Other spondylosis, site unspecified
- M47.9 — Spondylosis, unspecified