ICD-10 category · Chapter XIII · M40-M54

M48 Other spondylopathies

89 codes under M48 in the South African Master Industry Table 2021, 80 valid for clinical use; 37 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
Code	Description	Use	Benefits
M48	Other spondylopathies	Heading only	—
M48.0	Spinal stenosis	Heading only	—
M48.00	Spinal stenosis, multiple sites in spine	Valid · may be primary	PMB 941A Spinal cord compression, ischaemia or degenerative disease NOS · Medical and surgical management
M48.01	Spinal stenosis, occipito-atlanto-axial region	Valid · may be primary	PMB 941A Spinal cord compression, ischaemia or degenerative disease NOS · Medical and surgical management
M48.02	Spinal stenosis, cervical region	Valid · may be primary	PMB 941A Spinal cord compression, ischaemia or degenerative disease NOS · Medical and surgical management
M48.03	Spinal stenosis, cervicothoracic region	Valid · may be primary	PMB 941A Spinal cord compression, ischaemia or degenerative disease NOS · Medical and surgical management
M48.04	Spinal stenosis, thoracic region	Valid · may be primary	PMB 941A Spinal cord compression, ischaemia or degenerative disease NOS · Medical and surgical management
M48.05	Spinal stenosis, thoracolumbar region	Valid · may be primary	PMB 941A Spinal cord compression, ischaemia or degenerative disease NOS · Medical and surgical management
M48.06	Spinal stenosis, lumbar region	Valid · may be primary	PMB 941A Spinal cord compression, ischaemia or degenerative disease NOS · Medical and surgical management
M48.07	Spinal stenosis, lumbosacral region	Valid · may be primary	—
M48.08	Spinal stenosis, sacral and sacrococcygeal region	Valid · may be primary	—
M48.09	Spinal stenosis, site unspecified	Valid · may be primary	—
M48.1	Ankylosing hyperostosis [Forestier]	Heading only	—
M48.10	Ankylosing hyperostosis [Forestier], multiple sites in spine	Valid · may be primary	—
M48.11	Ankylosing hyperostosis [Forestier], occipito-atlanto-axial region	Valid · may be primary	—
M48.12	Ankylosing hyperostosis [Forestier], cervical region	Valid · may be primary	—
M48.13	Ankylosing hyperostosis [Forestier], cervicothoracic region	Valid · may be primary	—
M48.14	Ankylosing hyperostosis [Forestier], thoracic region	Valid · may be primary	—
M48.15	Ankylosing hyperostosis [Forestier], thoracolumbar region	Valid · may be primary	—
M48.16	Ankylosing hyperostosis [Forestier], lumbar region	Valid · may be primary	—
M48.17	Ankylosing hyperostosis [Forestier], lumbosacral region	Valid · may be primary	—
M48.18	Ankylosing hyperostosis [Forestier], sacral and sacrococcygeal region	Valid · may be primary	—
M48.19	Ankylosing hyperostosis [Forestier], site unspecified	Valid · may be primary	—
M48.2	Kissing spine	Heading only	—
M48.20	Kissing spine, multiple sites in spine	Valid · may be primary	—
M48.21	Kissing spine, occipito-atlanto-axial region	Valid · may be primary	—
M48.22	Kissing spine, cervical region	Valid · may be primary	—
M48.23	Kissing spine, cervicothoracic region	Valid · may be primary	—
M48.24	Kissing spine, thoracic region	Valid · may be primary	—
M48.25	Kissing spine, thoracolumbar region	Valid · may be primary	—
M48.26	Kissing spine, lumbar region	Valid · may be primary	—
M48.27	Kissing spine, lumbosacral region	Valid · may be primary	—
M48.28	Kissing spine, sacral and sacrococcygeal region	Valid · may be primary	—
M48.29	Kissing spine, site unspecified	Valid · may be primary	—
M48.3	Traumatic spondylopathy	Heading only	—
M48.30	Traumatic spondylopathy, multiple sites in spine	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.31	Traumatic spondylopathy, occipito-atlanto-axial region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.32	Traumatic spondylopathy, cervical region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.33	Traumatic spondylopathy, cervicothoracic region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.34	Traumatic spondylopathy, thoracic region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.35	Traumatic spondylopathy, thoracolumbar region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.36	Traumatic spondylopathy, lumbar region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.37	Traumatic spondylopathy, lumbosacral region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.38	Traumatic spondylopathy, sacral and sacrococcygeal region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.39	Traumatic spondylopathy, site unspecified	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.4	Fatigue fracture of vertebra	Heading only	—
M48.40	Fatigue fracture of vertebra, multiple sites in spine	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.41	Fatigue fracture of vertebra, occipito-atlanto-axial region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.42	Fatigue fracture of vertebra, cervical region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.43	Fatigue fracture of vertebra, cervicothoracic region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.44	Fatigue fracture of vertebra, thoracic region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.45	Fatigue fracture of vertebra, thoracolumbar region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.46	Fatigue fracture of vertebra, lumbar region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.47	Fatigue fracture of vertebra, lumbosacral region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.48	Fatigue fracture of vertebra, sacral and sacrococcygeal region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.49	Fatigue fracture of vertebra, site unspecified	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.5	Collapsed vertebra, not elsewhere classified	Heading only	—
M48.50	Collapsed vertebra, not elsewhere classified, multiple sites in spine	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.51	Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.52	Collapsed vertebra, not elsewhere classified, cervical region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.53	Collapsed vertebra, not elsewhere classified, cervicothoracic region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.54	Collapsed vertebra, not elsewhere classified, thoracic region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.55	Collapsed vertebra, not elsewhere classified, thoracolumbar region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.56	Collapsed vertebra, not elsewhere classified, lumbar region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.57	Collapsed vertebra, not elsewhere classified, lumbosacral region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.58	Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.59	Collapsed vertebra, not elsewhere classified, site unspecified	Valid · may be primary	PMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
M48.8	Other specified spondylopathies	Heading only	—
M48.80	Other specified spondylopathies, multiple sites in spine	Valid · may be primary	—
M48.81	Other specified spondylopathies, occipito-atlanto-axial region	Valid · may be primary	—
M48.82	Other specified spondylopathies, cervical region	Valid · may be primary	—
M48.83	Other specified spondylopathies, cervicothoracic region	Valid · may be primary	—
M48.84	Other specified spondylopathies, thoracic region	Valid · may be primary	—
M48.85	Other specified spondylopathies, thoracolumbar region	Valid · may be primary	—
M48.86	Other specified spondylopathies, lumbar region	Valid · may be primary	—
M48.87	Other specified spondylopathies, lumbosacral region	Valid · may be primary	—
M48.88	Other specified spondylopathies, sacral and sacrococcygeal region	Valid · may be primary	—
M48.89	Other specified spondylopathies, site unspecified	Valid · may be primary	—
M48.9	Spondylopathy, unspecified	Heading only	—
M48.90	Spondylopathy, unspecified, multiple sites in spine	Valid · may be primary	—
M48.91	Spondylopathy, unspecified, occipito-atlanto-axial region	Valid · may be primary	—
M48.92	Spondylopathy, unspecified, cervical region	Valid · may be primary	—
M48.93	Spondylopathy, unspecified, cervicothoracic region	Valid · may be primary	—
M48.94	Spondylopathy, unspecified, thoracic region	Valid · may be primary	—
M48.95	Spondylopathy, unspecified, thoracolumbar region	Valid · may be primary	—
M48.96	Spondylopathy, unspecified, lumbar region	Valid · may be primary	—
M48.97	Spondylopathy, unspecified, lumbosacral region	Valid · may be primary	—
M48.98	Spondylopathy, unspecified, sacral and sacrococcygeal region	Valid · may be primary	—
M48.99	Spondylopathy, unspecified, site unspecified	Valid · may be primary	—

Prescribed Minimum Benefits in M48. 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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