M43.1
Non-Billable

Spondylolisthesis

Non-Billable / Non-Specific Code

What is Spondylolisthesis?

ICD-10-CM M43.1 is the diagnosis code for Spondylolisthesis. 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.

⛔ Excludes1

Coding Guidelines for M43.1

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M43.1. They are mutually exclusive:

  • acute traumatic of lumbosacral region (S33.1)
  • acute traumatic of sites other than lumbosacral- code to Fracture, vertebra, by region
  • congenital spondylolisthesis (Q76.2)

ICD-10-CM Code Hierarchy

Understanding where M43.1 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 10 entries
M43.10Spondylolisthesis, site unspecifiedBillableM43.11Spondylolisthesis, occipito-atlanto-axial regionBillableM43.12Spondylolisthesis, cervical regionBillableM43.13Spondylolisthesis, cervicothoracic regionBillableM43.14Spondylolisthesis, thoracic regionBillableM43.15Spondylolisthesis, thoracolumbar regionBillableM43.16Spondylolisthesis, lumbar regionBillableM43.17Spondylolisthesis, lumbosacral regionBillableM43.18Spondylolisthesis, sacral and sacrococcygeal regionBillableM43.19Spondylolisthesis, multiple sites in spineBillable
Related Codes

Frequently Asked Questions

Is M43.1 a billable ICD-10-CM code?

No, M43.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M43.1 mean?

M43.1 is the ICD-10-CM diagnosis code for "Spondylolisthesis". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M43.1?

The parent code of M43.1 is M43 ("Other deforming dorsopathies"). M43.1 provides a more specific classification within this category.

What section is M43.1 in?

M43.1 is located in Section M40-M43 — "Deforming dorsopathies" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M43.1?

M43.1 has 10 sub-code(s) that provide more specific detail: M43.10, M43.11, M43.12, M43.13, M43.14 and more.

When should I use M43.1?

Use M43.1 when the patients documented diagnosis matches "Spondylolisthesis" 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 Spondylolisthesis?

The ICD-10-CM code for Spondylolisthesis is M43.1.

Can M43.1 be used for primary diagnosis?

No, M43.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M43.1 in?

M43.1 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M43.1?

Type 1 Excludes for M43.1 include: acute traumatic of lumbosacral region (S33.1); acute traumatic of sites other than lumbosacral- code to Fracture, vertebra, by region; congenital spondylolisthesis (Q76.2).

Is M43.1 valid for 2026?

Yes, M43.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM43.09Spondylolysis, multiple sites in spineNext →M43.10Spondylolisthesis, site unspecified
Code Details
M43.1
Spondylolisthesis
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M40-M43 — Deforming dorsopathies
2026 ICD-10-CM