M1038 Pt diagnosis lum sp reg fracture
Also known as: lumbar fracture diagnosis, spinal compression fracture
Patient diagnosed with fracture of the lumbar spine region.
In Plain Language
Lower spine broken bone; Lumbar vertebra fracture
Clinical Context
Documents traumatic or pathologic fracture of lumbar vertebrae. Common in osteoporosis, trauma, or metastatic disease.
RVU Information
CPT M1038 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M1038?
CPT M1038 (Pt diagnosis lum sp reg fracture) is a M Codes code. Patient diagnosed with fracture of the lumbar spine region.
Is M1038 covered by insurance?
M1038 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents traumatic or pathologic fracture of lumbar vertebrae. Common in osteoporosis, trauma, or metastatic disease.
When is CPT M1038 used?
Documents traumatic or pathologic fracture of lumbar vertebrae. Common in osteoporosis, trauma, or metastatic disease.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.