But, M53.8- other specified dorsopathies can be used just like the old ICD-9 code. It is the "other" code, which means it can be used for a specified condition like facet syndrome.
Work-up reveals the presence of an open right femur fracture, and neck pain. A CT scan of the cervical spine is obtained and shows a right sided C6/7 facet dislocation. Which of the following images is most representative of this injury?
C7 (seventh cervical vertebra) fracture Closed fracture of seventh cervical vertebra ICD-10-CM S12.600A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 551 Medical back problems with mcc
Treatment Nonoperative cervical orthosis or external immobilization (6-12 weeks) indications facet fractures without significant subluxation, dislocation, or kyphosis Operative immediate closed reduction, then MRI, then surgical stabilization
There is, unfortunately, still no ICD-10 code for facet syndrome. But, M53. 8- other specified dorsopathiescan be used just like the old ICD-9 code. It is the "other" code, which means it can be used for a specified condition like facet syndrome.
Individuals with a complete C7 spinal cord injury will not be able to move or feel their trunk or lower body, and will also have some impairments in their hands/fingers. This will affect: Bladder and bowel movements. The inability to control these reflexes and muscle contractions can make you very prone to accidents.
ICD-10-CM Code for Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture S22. 000A.
ICD-10 code S22. 060A for Wedge compression fracture of T7-T8 vertebra, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Of note, C7 burst fractures carry a higher risk of developing kyphotic deformity that other levels of the subaxial cervical spine. Teardrop fractures occur with flexion or flexion-extension of the cervical spine leading to an anterior–inferior fracture of the vertebral body.
A survivor of a C7 SCI will likely have full neck movement but may sense tingling and numbness in the hands and fingers, as well as referred pain in the shoulder blade. Symptoms of a C7 SCI include: Burning pain in the shoulder blade and/or back of the arms (triceps)
Unspecified fracture of unspecified thoracic vertebra, initial encounter for closed fracture. S22. 009A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S22.
If you have no other documentation about the fracture (e.g. whether this is a pathological or a traumatic fracture), then this would code to category M48. 5 - Compression fracture of vertebra NOS, so I would use M48. 56XA for the lumbar site.
0: Fracture of thoracic vertebra.
ICD-10 Code for Wedge compression fracture of T5-T6 vertebra, initial encounter for closed fracture- S22. 050A- Codify by AAPC.
Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion. S32. 040K is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S32.
03.
Unfortunately the GEMs mapping to ICD-10 for this code is M54.08 Panniculitis affecting region of neck and back, sacrococcygeal region. This is defined as inflammation of subcutaneous adipose tissue, which is not consistent with facet syndrome. This is a great example of how doctors who rely only on GEMs are headed for trouble. However, if the patient really has panniculitis, the this code is perfect.
The facet joints are a pair of joints in the posterior aspect of the spine. Their proper name is zygapophysial joints. These joints can become inflamed due to trauma or overuse and cause back pain. This is called facet syndrome. Unfortunately there was no ICD-9 code for this condition.
However, a patient may have an acute case of facet syndrome which does not include degeneration. And this code does not seem to address these acute cases. The moral of the story is to learn how to use the code book.
There is, unfortunately, still no ICD-10 code for facet syndrome. But, M53.8- other specified dorsopathies can be used just like the old ICD-9 code. It is the "other" code, which means it can be used for a specified condition like facet syndrome.