InnovaRx Innova Health Strategies

M43.5X6

Other recurrent vertebral dislocation, lumbar region

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 19 never code together
M43code
Excludes1
  • congenital spondylolysis and spondylolisthesis (Q76.2)Q76.2
  • hemivertebra (Q76.3-Q76.4)Q76.3-Q76.4
  • Klippel-Feil syndrome (Q76.1)Q76.1
  • lumbarization and sacralization (Q76.4)Q76.4
  • platyspondylisis (Q76.4)Q76.4
  • spina bifida occulta (Q76.0)Q76.0
  • spinal curvature in osteoporosis (M80.-)M80.-
  • spinal curvature in Paget's disease of bone [osteitis deformans] (M88.-)M88.-
M43.5code
Excludes1
  • biomechanical lesions NEC (M99.-)M99.-
M00-M99chapter
Excludes2
  • arthropathic psoriasis (L40.5-)L40.5-
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • compartment syndrome (traumatic) (T79.A-)T79.A-
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 1
M00-M99chapter
Notes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Index entries leading here 1 filed at M43.5

The index files this at M43.5. The tabular extends it — laterality, staging, or the 7th character — so these entries lead to the family rather than to M43.5X6 exactly.

  • Dislocation (articular)
Alongside this code 7 same parent — M43.5X
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
M43.5X
Block
M40-M54
Siblings
7

Present FY2024–FY2027.