M43.2
Non-Billable

Fusion of spine

Non-Billable / Non-Specific Code

What is Fusion of spine?

ICD-10-CM M43.2 is the diagnosis code for Fusion of spine. This code falls under the section "Deforming dorsopathies" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for M43.2

✅ This Code Includes

  • Ankylosis of spinal joint

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M43.2. They are mutually exclusive:

  • ankylosing spondylitis (M45.0-)
  • congenital fusion of spine (Q76.4)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in M43.2. If the patient has both, code each condition separately:

  • arthrodesis status (Z98.1)
  • pseudoarthrosis after fusion or arthrodesis (M96.0)

ICD-10-CM Code Hierarchy

Understanding where M43.2 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 9 entries
M43.20Fusion of spine, site unspecifiedBillableM43.21Fusion of spine, occipito-atlanto-axial regionBillableM43.22Fusion of spine, cervical regionBillableM43.23Fusion of spine, cervicothoracic regionBillableM43.24Fusion of spine, thoracic regionBillableM43.25Fusion of spine, thoracolumbar regionBillableM43.26Fusion of spine, lumbar regionBillableM43.27Fusion of spine, lumbosacral regionBillableM43.28Fusion of spine, sacral and sacrococcygeal regionBillable
Related Codes

Frequently Asked Questions

Is M43.2 a billable ICD-10-CM code?

No, M43.2 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M43.2 mean?

M43.2 is the ICD-10-CM diagnosis code for "Fusion of spine". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M43.2?

The parent code of M43.2 is M43 ("Other deforming dorsopathies"). M43.2 provides a more specific classification within this category.

What section is M43.2 in?

M43.2 is located in Section M40-M43 — "Deforming dorsopathies" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M43.2?

M43.2 has 9 sub-code(s) that provide more specific detail: M43.20, M43.21, M43.22, M43.23, M43.24 and more.

When should I use M43.2?

Use M43.2 when the patients documented diagnosis matches "Fusion of spine" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Fusion of spine?

The ICD-10-CM code for Fusion of spine is M43.2.

Can M43.2 be used for primary diagnosis?

No, M43.2 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M43.2 in?

M43.2 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M43.2?

Type 1 Excludes for M43.2 include: ankylosing spondylitis (M45.0-); congenital fusion of spine (Q76.4).

Is M43.2 valid for 2026?

Yes, M43.2 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM43.19Spondylolisthesis, multiple sites in spineNext →M43.20Fusion of spine, site unspecified
Code Details
M43.2
Fusion of spine
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M40-M43 — Deforming dorsopathies
2026 ICD-10-CM