Back to HomeBeta

ICD-10 Coding for Anterolisthesis Lumbosacral(M43.17)

Complete ICD-10-CM coding and documentation guide for Anterolisthesis Lumbosacral. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Lumbosacral SpondylolisthesisL5-S1 Anterolisthesis

Related ICD-10 Code Ranges

Complete code families applicable to Anterolisthesis Lumbosacral

M43.1Primary Range

Spondylolisthesis

This range includes codes for spondylolisthesis, which is the primary condition being documented.

Radiculopathy

This range includes codes for radiculopathy, which may accompany spondylolisthesis.

Spinal stenosis

This range includes codes for spinal stenosis, which can be a complication of spondylolisthesis.

Key Information: ICD-10 code for lumbosacral anterolisthesis

Essential facts and insights about Anterolisthesis Lumbosacral

The ICD-10 code for lumbosacral anterolisthesis is M43.17, used when imaging confirms L5-S1 slippage.

Primary ICD-10-CM Code for anterolisthesis lumbosacral

Spondylolisthesis, lumbosacral region
Billable Code

Decision Criteria

clinical Criteria

  • Imaging shows L5-S1 slippage.

documentation Criteria

  • Slippage grade is documented.

Applicable To

  • L5-S1 anterolisthesis

Excludes

Clinical Validation Requirements

  • Imaging confirmation of L5-S1 slippage
  • Documentation of slippage grade

Code-Specific Risks

  • Incorrectly coding as lumbar region (M43.16) instead of lumbosacral.

Coding Notes

  • Ensure documentation specifies the exact vertebral level and slippage grade.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Radiculopathy, lumbar region

M54.16
Use when radiculopathy is present with L5-S1 anterolisthesis.

Spinal stenosis, lumbar region

M48.06
Use when spinal stenosis is present with L5-S1 anterolisthesis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Spondylolisthesis, lumbar region

M43.16
Use M43.16 for lumbar region involvement, not specifically L5-S1.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Anterolisthesis Lumbosacral to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M43.17.

Impact

Clinical: Incomplete clinical assessment., Regulatory: Potential non-compliance with coding standards., Financial: Risk of claim denials.

Mitigation Strategy

Train staff on documentation standards., Use checklists for clinical notes.

Impact

Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Verify the specific vertebral level involved and use M43.17 for lumbosacral.

Impact

Incorrect code selection for vertebral level.

Mitigation Strategy

Regular training on code differentiation.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Anterolisthesis Lumbosacral, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Anterolisthesis Lumbosacral

Use these documentation templates to ensure complete and accurate documentation for Anterolisthesis Lumbosacral. These templates include all required elements for proper coding and billing.

Neurosurgery Consultation

Specialty: Neurosurgery

Required Elements

  • Patient history
  • Physical exam findings
  • Imaging results
  • Treatment plan

Example Documentation

62yo F with 6mo progressive LBP radiating to posterior thighs (VAS 7/10), worse with extension. Failed 12wk PT/NSAIDs. XR: 10mm L5-S1 anterolisthesis (Grade 2). Plan: TLIF L5-S1 with posterior instrumentation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low back pain with slippage.
Good Documentation Example
Grade 3 L5-S1 anterolisthesis (12mm) with left L5 radiculopathy.
Explanation
The good example specifies the grade and neurological involvement, providing a complete clinical picture.

Need help with ICD-10 coding for Anterolisthesis Lumbosacral? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more