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M43.9

Billable

Deforming dorsopathy, unspecified

Chapter 13: Diseases of the musculoskeletal system and connective tissue

Additional Information

From parent codes: M00-M99 (Chapter 13)

Excludes 2 — Not Included HereFrom M00-M99

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
NotesFrom M00-M99

Additional notes from parent codes that apply to this code.

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Inpatient DRG Payments

DRG 55243,981 discharges

Medical Back Problems Without Mcc

Avg. Medicare Payment

$7,114

Total Payment$9,373
Patient Responsibility$2,259
Hospital Charge$50,120
DRG 5518,932 discharges

Medical Back Problems With Mcc

Avg. Medicare Payment

$13,310

Total Payment$16,215
Patient Responsibility$2,904
Hospital Charge$86,481
DRG 4571,710 discharges

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive

Avg. Medicare Payment

$55,967

Total Payment$65,757
Patient Responsibility$9,790
Hospital Charge$320,942
DRG 456318 discharges

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive

Avg. Medicare Payment

$104,193

Total Payment$122,272
Patient Responsibility$18,079
Hospital Charge$547,673
DRG 458119 discharges

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive

Avg. Medicare Payment

$33,026

Total Payment$41,355
Patient Responsibility$8,328
Hospital Charge$186,701