ICD-10 M42.0
Non-Billable HeaderJuvenile osteochondrosis of spine
About ICD-10-CM M42.0
ICD-10-CM code M42.0 represents Juvenile osteochondrosis of spine. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M42). The 2026 edition of ICD-10-CM M42.0 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under M42.0. Per CMS ICD-10-CM Tabular 2026.
- Calvé's disease
- Scheuermann's disease
Type 1 Excludes
Pure excludes, these codes can never be coded together with M42.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- postural kyphosis (M40.0)
Medicare LCD Coverage for M42.0
Local Coverage Determinations (LCDs) from CMS MACs that list M42.0 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M42.0.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M42.0 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M42.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To M42.0
Other codes in section M40-M43 (Deforming dorsopathies).
ICD-10 M42.0, Billing FAQ
Is ICD-10 code M42.0 billable? +
No, M42.0 is a non-billable header code. Use a more specific child code from block M42 when submitting claims.
What other names or terms map to M42.0? +
ICD-10 M42.0 includes: Calvé's disease; Scheuermann's disease.
What codes are Type 1 Excludes for M42.0? +
Type 1 Excludes (never code together with M42.0): postural kyphosis (M40.0)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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