ICD-10 M48.06
Non-Billable HeaderSpinal stenosis, lumbar region
About ICD-10-CM M48.06
ICD-10-CM code M48.06 represents Spinal stenosis, lumbar region. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M48). The 2026 edition of ICD-10-CM M48.06 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.
Medicare LCD Coverage for M48.06
Local Coverage Determinations (LCDs) from CMS MACs that list M48.06 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 M48.06.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M48.06 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M48.06
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 72148 MRI lumbar spine without contrast — low back pain, lumbago, lumbar radiculopathy, lumbar disc herniation, spinal stenosis, lumbar sprain, spondylosis Radiology
- 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
Convert M48.06 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 |
|---|---|---|
| M48.06 | 72402 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M48.06
Other codes in section M45-M49 (Spondylopathies).
ICD-10 M48.06, Billing FAQ
Is ICD-10 code M48.06 billable? +
No, M48.06 is a non-billable header code. Use a more specific child code from block M48 when submitting claims.
What CPT codes are commonly billed with M48.06? +
Procedures frequently paired with M48.06 include: 72148, 64483, 62322, 64493.
What ICD-9 codes does M48.06 map to? +
Per CMS GEMs, M48.06 maps to ICD-9 codes: 72402. 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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