M48.50XS ICD-10-CM Code: Collapsed vertebra, not elsewhere classified, site unspecified, sequela of fracture
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 551 — MEDICAL BACK PROBLEMS WITH MCC (MDC 08)
- MS-DRG 552 — MEDICAL BACK PROBLEMS WITHOUT MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M48.50XS 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).
- current injury - see Injury of spine, by body region
- fatigue fracture of vertebra (M48.4) Compare M48.50XS vs M48.4 →
- pathological fracture of vertebra due to neoplasm (M84.58) Compare M48.50XS vs M84.58 →
- pathological fracture of vertebra due to other diagnosis (M84.68) Compare M48.50XS vs M84.68 →
- pathological fracture of vertebra due to osteoporosis (M80.-) Compare M48.50XS vs M80 →
- pathological fracture NOS (M84.4-) Compare M48.50XS vs M84.4 →
- stress fracture of vertebra (M48.4-) Compare M48.50XS vs M48.4 →
- traumatic fracture of vertebra (S12.-, S22.-, S32.-) Compare M48.50XS vs S12 →
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
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 M48.50XS 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
- M48.50 — Collapsed vertebra, not elsewhere classified, site unspecified [Hierarchy]
Referenced by Excludes1 notes
- G55 — Nerve root and plexus compressions in diseases classified elsewhere [Excludes1](via M48.-): “nerve root compression (due to) (in) spondylopathies (M46.-, M48.-)”
Clinical classification (CCSR)
- MUS020 — Pathological, stress and atypical fractures, sequela [CCSR]
Potential MS-DRG
- DRG 551 — MEDICAL BACK PROBLEMS WITH MCC [MS-DRG]: “MEDICAL BACK PROBLEMS WITH MCC (MDC 08)”
- DRG 552 — MEDICAL BACK PROBLEMS WITHOUT MCC [MS-DRG]: “MEDICAL BACK PROBLEMS WITHOUT MCC (MDC 08)”
Nearest codes (40)
- M48 — Other spondylopathies [Sibling]
- M48.46 — Fatigue fracture of vertebra, lumbar region [Sibling]
- M48.46XA — Fatigue fracture of vertebra, lumbar region, initial encounter for fracture [Sibling]
- M48.46XD — Fatigue fracture of vertebra, lumbar region, subsequent encounter for fracture with routine healing [Sibling]
- M48.46XG — Fatigue fracture of vertebra, lumbar region, subsequent encounter for fracture with delayed healing [Sibling]
- M48.46XS — Fatigue fracture of vertebra, lumbar region, sequela of fracture [Sibling]
- M48.47 — Fatigue fracture of vertebra, lumbosacral region [Sibling]
- M48.47XA — Fatigue fracture of vertebra, lumbosacral region, initial encounter for fracture [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):MUS020 — Pathological, stress and atypical fractures, sequela (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 551 (MDC 08), DRG 552 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name M48.50XS or its code family.
1 Excludes1 notes: G55 (via M48.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does M48.50XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from subcategory M48.5:.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M48.50XS in its code family, with their registry titles.
- M48.5 — Collapsed vertebra, not elsewhere classified
- M48.50 — Collapsed vertebra, not elsewhere classified, site unspecified
- M48.50XA — Collapsed vertebra, not elsewhere classified, site unspecified, initial encounter for fracture
- M48.50XD — Collapsed vertebra, not elsewhere classified, site unspecified, subsequent encounter for fracture with routine healing
- M48.50XG — Collapsed vertebra, not elsewhere classified, site unspecified, subsequent encounter for fracture with delayed healing
- M48.51 — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region
- M48.51XA — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture
- M48.51XD — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, subsequent encounter for fracture with routine healing
- M48.51XG — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, subsequent encounter for fracture with delayed healing
- M48.51XS — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, sequela of fracture