| ICD-10 Code | Diagnosis | Coverage |
|---|---|---|
| M43.17 | Spondylolisthesis, lumbosacral region | covered |
| M43.18 | Spondylolisthesis, sacral and sacrococcygeal region | covered |
| M43.27 | Fusion of spine, lumbosacral region | covered |
| M43.28 | Fusion of spine, sacral and sacrococcygeal region | covered |
| M46.1 | Sacroiliitis, not elsewhere classified | covered |
| M51.17 | Intervertebral disc disorders with radiculopathy, lumbosacral region | covered |
| M53.2X7 | Spinal instabilities, lumbosacral region | covered |
| M53.2X8 | Spinal instabilities, sacral and sacrococcygeal region | covered |
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