M45
Non-Billable

Ankylosing spondylitis

Non-Billable / Non-Specific Code

What is Ankylosing spondylitis?

ICD-10-CM M45 is the diagnosis code for Ankylosing spondylitis. This code falls under the section "Spondylopathies" within Chapter 13 โ€” 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.

๐Ÿ’ก Inclusions
โ›” Excludes1
โ„น๏ธ Excludes2

Coding Guidelines for M45

โœ… This Code Includes

  • Rheumatoid arthritis of spine

โ›” Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M45. They are mutually exclusive:

  • arthropathy in Reiter's disease (M02.3-)
  • juvenile (ankylosing) spondylitis (M08.1)

โ„น๏ธ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in M45. If the patient has both, code each condition separately:

  • Behรงet's disease (M35.2)

ICD-10-CM Code Hierarchy

Understanding where M45 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 11 entries
M45.0Ankylosing spondylitis of multiple sites in spineBillableM45.1Ankylosing spondylitis of occipito-atlanto-axial regionBillableM45.2Ankylosing spondylitis of cervical regionBillableM45.3Ankylosing spondylitis of cervicothoracic regionBillableM45.4Ankylosing spondylitis of thoracic regionBillableM45.5Ankylosing spondylitis of thoracolumbar regionBillableM45.6Ankylosing spondylitis lumbar regionBillableM45.7Ankylosing spondylitis of lumbosacral regionBillableM45.8Ankylosing spondylitis sacral and sacrococcygeal regionBillableM45.9Ankylosing spondylitis of unspecified sites in spineBillableM45.ANon-radiographic axial spondyloarthritisNon-BillableM45.A0Non-radiographic axial spondyloarthritis of unspecified sites in spineBillableM45.A1Non-radiographic axial spondyloarthritis of occipito-atlanto-axial regionBillableM45.A2Non-radiographic axial spondyloarthritis of cervical regionBillableM45.A3Non-radiographic axial spondyloarthritis of cervicothoracic regionBillableM45.A4Non-radiographic axial spondyloarthritis of thoracic regionBillableM45.A5Non-radiographic axial spondyloarthritis of thoracolumbar regionBillableM45.A6Non-radiographic axial spondyloarthritis of lumbar regionBillableM45.A7Non-radiographic axial spondyloarthritis of lumbosacral regionBillableM45.A8Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal regionBillableM45.ABNon-radiographic axial spondyloarthritis of multiple sites in spineBillable
Related Codes

Frequently Asked Questions

Is M45 a billable ICD-10-CM code?

No, M45 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M45 mean?

M45 is the ICD-10-CM diagnosis code for "Ankylosing spondylitis". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is M45 in?

M45 is located in Section M45-M49 โ€” "Spondylopathies" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M45?

M45 has 11 sub-code(s) that provide more specific detail: M45.0, M45.1, M45.2, M45.3, M45.4 and more.

When should I use M45?

Use M45 when the patients documented diagnosis matches "Ankylosing spondylitis" 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 Ankylosing spondylitis?

The ICD-10-CM code for Ankylosing spondylitis is M45.

Can M45 be used for primary diagnosis?

No, M45 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M45 in?

M45 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M45?

Type 1 Excludes for M45 include: arthropathy in Reiter's disease (M02.3-); juvenile (ankylosing) spondylitis (M08.1).

Is M45 valid for 2026?

Yes, M45 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM43.9Deforming dorsopathy, unspecifiedNext →M45.0Ankylosing spondylitis of multiple sites in spine
Code Details
M45
Ankylosing spondylitis
Non-Billable / Non-Specific Code
13 โ€” Diseases of the musculoskeletal system and connective tissue (M00-M99)
M45-M49 โ€” Spondylopathies
2026 ICD-10-CM