ICD-10 category · Chapter XIII · M40-M54

M43 Other deforming dorsopathies

76 codes under M43 in the South African Master Industry Table 2021, 66 valid for clinical use; 1 marked as a Prescribed Minimum Benefit.

Valid: the code is at its most specific level and may go on an account. Heading only: code to a more specific entry beneath it. PMB and CDL: a Prescribed Minimum Benefit or Chronic Disease List condition per the Council for Medical Schemes. † dagger and * asterisk codes are used as a pair. How to read the table
CodeDescriptionUseBenefits
M43Other deforming dorsopathiesHeading only—
M43.0SpondylolysisHeading only—
M43.00Spondylolysis, multiple sites in spineValid · may be primary—
M43.01Spondylolysis, occipito-atlanto-axial regionValid · may be primary—
M43.02Spondylolysis, cervical regionValid · may be primary—
M43.03Spondylolysis, cervicothoracic regionValid · may be primary—
M43.04Spondylolysis, thoracic regionValid · may be primary—
M43.05Spondylolysis, thoracolumbar regionValid · may be primary—
M43.06Spondylolysis, lumbar regionValid · may be primary—
M43.07Spondylolysis, lumbosacral regionValid · may be primary—
M43.08Spondylolysis, sacral and sacrococcygeal regionValid · may be primary—
M43.09Spondylolysis, site unspecifiedValid · may be primary—
M43.1SpondylolisthesisHeading only—
M43.10Spondylolisthesis, multiple sites in spineValid · may be primary—
M43.11Spondylolisthesis, occipito-atlanto-axial regionValid · may be primary—
M43.12Spondylolisthesis, cervical regionValid · may be primary—
M43.13Spondylolisthesis, cervicothoracic regionValid · may be primary—
M43.14Spondylolisthesis, thoracic regionValid · may be primary—
M43.15Spondylolisthesis, thoracolumbar regionValid · may be primary—
M43.16Spondylolisthesis, lumbar regionValid · may be primary—
M43.17Spondylolisthesis, lumbosacral regionValid · may be primary—
M43.18Spondylolisthesis, sacral and sacrococcygeal regionValid · may be primary—
M43.19Spondylolisthesis, site unspecifiedValid · may be primary—
M43.2Other fusion of spineHeading only—
M43.20Other fusion of spine, multiple sites in spineValid · may be primary—
M43.21Other fusion of spine, occipito-atlanto-axial regionValid · may be primary—
M43.22Other fusion of spine, cervical regionValid · may be primary—
M43.23Other fusion of spine, cervicothoracic regionValid · may be primary—
M43.24Other fusion of spine, thoracic regionValid · may be primary—
M43.25Other fusion of spine, thoracolumbar regionValid · may be primary—
M43.26Other fusion of spine, lumbar regionValid · may be primary—
M43.27Other fusion of spine, lumbosacral regionValid · may be primary—
M43.28Other fusion of spine, sacral and sacrococcygeal regionValid · may be primary—
M43.29Other fusion of spine, site unspecifiedValid · may be primary—
M43.3Recurrent atlantoaxial subluxation with myelopathyHeading only—
M43.31Recurrent atlantoaxial subluxation with myelopathy, occipito-atlanto-axial regionValid · may be primaryPMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 months
M43.4Other recurrent atlantoaxial subluxationHeading only—
M43.41Other recurrent atlantoaxial subluxation, occipito-atlanto-axial regionValid · may be primary—
M43.5Other recurrent vertebral subluxationHeading only—
M43.50Other recurrent vertebral subluxation, multiple sites in spineValid · may be primary—
M43.51Other recurrent vertebral subluxation, occipito-atlanto-axial regionValid · may be primary—
M43.52Other recurrent vertebral subluxation, cervical regionValid · may be primary—
M43.53Other recurrent vertebral subluxation, cervicothoracic regionValid · may be primary—
M43.54Other recurrent vertebral subluxation, thoracic regionValid · may be primary—
M43.55Other recurrent vertebral subluxation, thoracolumbar regionValid · may be primary—
M43.56Other recurrent vertebral subluxation, lumbar regionValid · may be primary—
M43.57Other recurrent vertebral subluxation, lumbosacral regionValid · may be primary—
M43.58Other recurrent vertebral subluxation, sacral and sacrococcygeal regionValid · may be primary—
M43.59Other recurrent vertebral subluxation, site unspecifiedValid · may be primary—
M43.6TorticollisHeading only—
M43.60Torticollis, multiple sites in spineValid · may be primary—
M43.61Torticollis, occipito-atlanto-axial regionValid · may be primary—
M43.62Torticollis, cervical regionValid · may be primary—
M43.63Torticollis, cervicothoracic regionValid · may be primary—
M43.8Other specified deforming dorsopathiesHeading only—
M43.80Other specified deforming dorsopathies, multiple sites in spineValid · may be primary—
M43.81Other specified deforming dorsopathies, occipito-atlanto-axial regionValid · may be primary—
M43.82Other specified deforming dorsopathies, cervical regionValid · may be primary—
M43.83Other specified deforming dorsopathies, cervicothoracic regionValid · may be primary—
M43.84Other specified deforming dorsopathies, thoracic regionValid · may be primary—
M43.85Other specified deforming dorsopathies, thoracolumbar regionValid · may be primary—
M43.86Other specified deforming dorsopathies, lumbar regionValid · may be primary—
M43.87Other specified deforming dorsopathies, lumbosacral regionValid · may be primary—
M43.88Other specified deforming dorsopathies, sacral and sacrococcygeal regionValid · may be primary—
M43.89Other specified deforming dorsopathies, site unspecifiedValid · may be primary—
M43.9Deforming dorsopathy, unspecifiedHeading only—
M43.90Deforming dorsopathy, unspecified, multiple sites in spineValid · may be primary—
M43.91Deforming dorsopathy, unspecified, occipito-atlanto-axial regionValid · may be primary—
M43.92Deforming dorsopathy, unspecified, cervical regionValid · may be primary—
M43.93Deforming dorsopathy, unspecified, cervicothoracic regionValid · may be primary—
M43.94Deforming dorsopathy, unspecified, thoracic regionValid · may be primary—
M43.95Deforming dorsopathy, unspecified, thoracolumbar regionValid · may be primary—
M43.96Deforming dorsopathy, unspecified, lumbar regionValid · may be primary—
M43.97Deforming dorsopathy, unspecified, lumbosacral regionValid · may be primary—
M43.98Deforming dorsopathy, unspecified, sacral and sacrococcygeal regionValid · may be primary—
M43.99Deforming dorsopathy, unspecified, site unspecifiedValid · may be primary—
Prescribed Minimum Benefits in M43. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.

Source and terms

Reproduced from the national table, unaltered.

The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page

Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.

ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.

Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.

Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.

This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.

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