Many posture-focused professionals have asked me about ICD-10 coding for posture like Upper and Lower Cross syndromes, as well as other structural and posture imbalances. These are real bio-mechanic issues that respond well to care, but for all ICD-10’s specificity, there aren’t good ICD-10 diagnosis for posture conditions.
Postural kyphosis, thoracic region. M40.04 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM M40.04 became effective on October 1, 2018. This is the American ICD-10-CM version of M40.04 - other international versions of ICD-10 M40.04 may differ.
Postural lordosis. M40.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM M40.4 became effective on October 1, 2018.
Surprisingly there is no ICD-10 code for POTS...... it is a well-documented condition after all. Neither of the codes you mention are really correct. The most correct and the one I use on the rare occasion I see the condition documented is I49.8; other specified cardiac arrhythmias.
R29.3ICD-10-CM Code for Abnormal posture R29. 3.
Z74. 0 - Reduced mobility. ICD-10-CM.
ICD-10-CM Code for Abnormalities of gait and mobility R26.
6: Pain in thoracic spine.
Z74.0ICD-10-CM Code for Reduced mobility Z74. 0.
Limited mandibular range of motion The 2022 edition of ICD-10-CM M26. 52 became effective on October 1, 2021.
R26. 2 - Difficulty in walking, not elsewhere classified. ICD-10-CM.
Abnormal gait or a walking abnormality is when a person is unable to walk in the usual way. This may be due to injuries, underlying conditions, or problems with the legs and feet.
The current code, M54. 5 (Low back pain), will be expanded into three more specific codes: M54. 50 (Low back pain, unspecified)
9: Dorsalgia, unspecified.
ICD-Code M54. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of chronic low back pain. Its corresponding ICD-9 code is 724.2.
M62.89 is in Other specified disorders of muscle , and could be a catch all (which means it’s more likely to be scrutinized). StrongPosture® is a systematized posture rehab protocol. Purchase the StrongPosture Program and take the latest training as an online course or hands-on seminar.
But Lower Cross is not a diagnosis. However, it’s a posture observation and can be a contributing component of a more definitive diagnosis. Even though it’s not coded, it should be documented properly so that when necessary you can try to justify longer term treatment.
These are real bio-mechanic issues that respond well to care, but for all ICD-10’s specificity, there aren’t good ICD-10 diagnosis for posture conditions.