M43.09 Spondylolysis, multiple sites in spine

Billable ICD-10-CM code, FY2026.

Applies from M43 Other deforming dorsopathies

Excludes1 (never code together)

• congenital spondylolysis and spondylolisthesis (Q76.2)
• hemivertebra (Q76.3-Q76.4)
• Klippel-Feil syndrome (Q76.1)
• lumbarization and sacralization (Q76.4)
• platyspondylisis (Q76.4)
• spina bifida occulta (Q76.0)
• spinal curvature in osteoporosis (M80.-)
• spinal curvature in Paget's disease of bone [osteitis deformans] (M88.-)

Applies from M43.0 Spondylolysis

Excludes1 (never code together)

• congenital spondylolysis (Q76.2)
• spondylolisthesis (M43.1)

MS-DRG index

Defines the logic of DRG(s) 551-552 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 738.4 Acquired spondylolisthesis (approximate)

Code annotations containing back-references to M43.09

Back-references to M43.0

• Type 1 Excludes: Q76.2 Congenital spondylolisthesis ("spondylolysis (acquired) (M43.0-)")

Back-references to M43

• Type 2 Excludes: M95 Other acquired deformities of musculoskeletal system and connective tissue ("deforming dorsopathies (M40-M43)")

Diagnosis Index entries for M43.09

• Spondylolysis (acquired) › multiple sites

Nearby codes

• M43.04 Spondylolysis, thoracic region
• M43.05 Spondylolysis, thoracolumbar region
• M43.06 Spondylolysis, lumbar region
• M43.07 Spondylolysis, lumbosacral region
• M43.08 Spondylolysis, sacral and sacrococcygeal region
• M43.09 Spondylolysis, multiple sites in spine (this code)
• M43.1 Spondylolisthesis
• M43.10 Spondylolisthesis, site unspecified
• M43.11 Spondylolisthesis, occipito-atlanto-axial region
• M43.12 Spondylolisthesis, cervical region
• M43.13 Spondylolisthesis, cervicothoracic region