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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M43.13

Billable / Specific

Spondylolisthesis, cervicothoracic region

M43
Block
0
Synonyms
230
LCDs
17
Payer Policies
12
Linked CPTs

About ICD-10-CM M43.13

ICD-10-CM code M43.13 represents Spondylolisthesis, cervicothoracic region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M43). The 2026 edition of ICD-10-CM M43.13 became effective on October 1, 2025.

Medicare LCD Coverage for M43.13

Local Coverage Determinations (LCDs) from CMS MACs that list M43.13 as a covered diagnosis.

230 LCDs

Showing top 10 of 230 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98942 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98940 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98941 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98943 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M43.13.

17 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: Chiropractic Services
Policy ID: ART-56273
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Intraoperative Neurophysiological Testing
Policy ID: ART-56722
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773

CPT Codes Commonly Billed with M43.13

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

12 linkages
  • 22600 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22548 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22590 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22551 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22595 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22554 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22552 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22802 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22812 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
  • 22800 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD

Convert M43.13 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M43.13 7384 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M43.13, Billing FAQ

Is ICD-10 code M43.13 billable? +

Yes, M43.13 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with M43.13? +

Procedures frequently paired with M43.13 include: 22600, 22548, 22590, 22551, 22595.

What ICD-9 codes does M43.13 map to? +

Per CMS GEMs, M43.13 maps to ICD-9 codes: 7384. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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