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

ICD-10 M43.18

Billable / Specific

Spondylolisthesis, sacral and sacrococcygeal region

M43
Block
0
Synonyms
178
LCDs
16
Payer Policies
2
Linked CPTs

About ICD-10-CM M43.18

ICD-10-CM code M43.18 represents Spondylolisthesis, sacral and sacrococcygeal region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M43). The 2026 edition of ICD-10-CM M43.18 became effective on October 1, 2025.

Medicare LCD Coverage for M43.18

Local Coverage Determinations (LCDs) from CMS MACs that list M43.18 as a covered diagnosis.

178 LCDs

Showing top 10 of 178 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 M43.18.

16 policies

3 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Intraoperative Monitoring - (0509)
Policy ID: MM_0509
Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

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 M43.18

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

2 linkages
  • 27279 CMS LCD: Billing and Coding: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) CMS LCD
  • 27278 CMS LCD: Billing and Coding: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) CMS LCD

Convert M43.18 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M43.18 7384 10000

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

ICD-10 M43.18, Billing FAQ

Is ICD-10 code M43.18 billable? +

Yes, M43.18 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 M43.18? +

Procedures frequently paired with M43.18 include: 27279, 27278.

What ICD-9 codes does M43.18 map to? +

Per CMS GEMs, M43.18 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 May 31, 2026.

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