ICD-10 M47.816
Billable / SpecificSpondylosis without myelopathy or radiculopathy, lumbar region
About ICD-10-CM M47.816
ICD-10-CM code M47.816 represents Spondylosis without myelopathy or radiculopathy, lumbar region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M47). The 2026 edition of ICD-10-CM M47.816 became effective on October 1, 2025.
Medicare LCD Coverage for M47.816
Local Coverage Determinations (LCDs) from CMS MACs that list M47.816 as a covered diagnosis.
Showing top 10 of 724 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M47.816.
3 Cigna
5 Medicare
CPT Codes Commonly Billed with M47.816
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 64493 Facet injection — back pain, spondylosis Pain Medicine
- 64635 Facet neurolysis — chronic back pain Pain Medicine
- 72148 MRI lumbar spine without contrast — low back pain, lumbago, lumbar radiculopathy, lumbar disc herniation, spinal stenosis, lumbar sprain, spondylosis Radiology
- 97140 Manual therapy — back pain, neck pain, joint pain, myalgia, spasm, muscle weakness, impingement, somatic dysfunction, chronic pain, spondylosis Physical Therapy
- 64483 Transforaminal epidural injection lumbar — low back pain, lumbosacral radiculopathy, lumbar disc herniation, nerve root compression, spinal stenosis, spondylosis Pain Management
- 62322 Interlaminar epidural injection lumbar — low back pain, radiculopathy, cervicalgia, disc herniation, spinal stenosis, spondylosis Pain Management
- 64493 Facet joint injection lumbar L1 — back pain, spondylosis, sacrococcygeal disorder, sacroiliitis, spinal stenosis Pain Management
- 64629 CMS LCD: Billing and Coding: Intraosseous Basivertebral Nerve Ablation CMS LCD
- 64628 CMS LCD: Billing and Coding: Intraosseous Basivertebral Nerve Ablation CMS LCD
- 64636 CMS LCD: Billing and Coding: Facet Joint Interventions for Pain Management CMS LCD
Convert M47.816 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M47.816 | 7213 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M47.816
Other codes in section M45-M49 (Spondylopathies).
ICD-10 M47.816, Billing FAQ
Is ICD-10 code M47.816 billable? +
Yes, M47.816 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 M47.816? +
Procedures frequently paired with M47.816 include: 64493, 64635, 72148, 97140, 64483.
What ICD-9 codes does M47.816 map to? +
Per CMS GEMs, M47.816 maps to ICD-9 codes: 7213. 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 17, 2026.
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