octoHealth

M45.A0

Billable

Non-radiographic axial spondyloarthritis of unspecified sites in spine

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 545863 discharges

Connective Tissue Disorders With Mcc

Avg. Medicare Payment

$28,251

Total Payment$34,517
Patient Responsibility$6,265
Hospital Charge$154,833
DRG 546409 discharges

Connective Tissue Disorders With Cc

Avg. Medicare Payment

$11,861

Total Payment$16,072
Patient Responsibility$4,211
Hospital Charge$77,627
DRG 54711 discharges

Connective Tissue Disorders Without Cc/mcc

Avg. Medicare Payment

$5,663

Total Payment$10,528
Patient Responsibility$4,865
Hospital Charge$39,458