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Spondylolysis, lumbosacral region

ICD10CM code

Medical Policies and Guidelines for Spondylolysis, lumbosacral region

Related policies from health plans

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Intraoperative Monitoring - (0509)
Peripheral Nerve Destruction for Pain Conditions - (0525)

Similar Codes


ICD10CM codes

M43.07 - Spondylolysis, lumbosacral region
M43.17 - Spondylolisthesis, lumbosacral region
M43.08 - Spondylolysis, sacral and sacrococcygeal region
M43.06 - Spondylolysis, lumbar region
M43.05 - Spondylolysis, thoracolumbar region
M47.897 - Other spondylosis, lumbosacral region
M48.37 - Traumatic spondylopathy, lumbosacral region
M43.04 - Spondylolysis, thoracic region
M43.02 - Spondylolysis, cervical region
M45.7 - Ankylosing spondylitis of lumbosacral region

HCPCS codes

L0628 - Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcyge
L0630 - Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacr
L0631 - Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
L0643 - Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacr
L0639 - Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
L0633 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior ext
L0637 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, po
L0648 - Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
L0640 - Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
L0650 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s),

CPT4 codes

63200 - Laminectomy, with release of tethered spinal cord, lumbar
72100 - Radiologic examination, spine, lumbosacral; 2 or 3 views
72120 - Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views
72265 - Myelography, lumbosacral, radiological supervision and interpretation
72110 - Radiologic examination, spine, lumbosacral; minimum of 4 views
72114 - Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views
0171T - Insertion of posterior spinous process distraction device (including necessary removal of bone or li
62290 - Injection procedure for discography, each level; lumbar
62304 - Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral
63709 - Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy