icd 10 code for cervical discectomy

by Andrew Cartwright 9 min read

22.

Full Answer

How many codes in ICD 10?

  • ICD-10 codes were developed by the World Health Organization (WHO) External file_external .
  • ICD-10-CM codes were developed and are maintained by CDC’s National Center for Health Statistics under authorization by the WHO.
  • ICD-10-PCS codes External file_external were developed and are maintained by Centers for Medicare and Medicaid Services. ...

What is the diagnosis code for cervical fusion?

Cervical Posterior Decompression with Fusion— Single Level** 22590, 22595, 22600 Cervical Posterior Decompression (for single level fusion) 63001, 63020, 63040, 63045, 63050 Instrumentation: +22840, +22841 Bone Grafts: +20930, +20931, +20936, +20937 Cervical Posterior Decompression with Fusion— Multiple Levels **

What is the ICD 10 code for cervical cancer?

The ICD-10-CM code Z12.4 might also be used to specify conditions or terms like cancer cervix - screening done, cancer cervix screening and fee claim or sampling of cervix for papanicolaou smear done. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

What is the diagnosis code for cervical cancer?

Screening for malignant neoplasms of cervix

  • Short description: Screen mal neop-cervix.
  • ICD-9-CM V76.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V76.2 should only be used for claims with a date ...
  • You are viewing the 2012 version of ICD-9-CM V76.2.
  • More recent version (s) of ICD-9-CM V76.2: 2013 2014 2015.

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What is the ICD-10 code for status post discectomy?

2022 ICD-10-CM Diagnosis Code M96. 1: Postlaminectomy syndrome, not elsewhere classified.

How do you code a cervical discectomy?

+63076 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace. (List separately in addition to code for primary procedure) Code first (63075).

What is the CPT code for anterior cervical discectomy and fusion?

Coders should instead report all-encompassing CPT code 22551 (arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2) for an anterior cervical discectomy and interbody fusion performed at the same level during ...

What is the ICD-10 code for cervical fusion?

ICD-10 code M43. 22 for Fusion of spine, cervical region is a medical classification as listed by WHO under the range - Dorsopathies .

Does 63047 include discectomy?

When the laminectomy or laminotomy is performed primarily for spinal stenosis, the decompression procedure is the primary focus and if only a minor discectomy or no discectomy is performed in the procedure, then Codes 60345 or 63047 would be used.

What is the difference between CPT code 63030 and 63047?

In addition, 63030 is a unilateral code, and should be reported for the first occurrence of disc herniation, CPT explains. By contrast, Code 63047 is used to report procedures performed for lateral recess stenosis, for example, caused by either ligamentum flavum hypertrophy or facet arthropathy.

What is the CPT code for Posterior cervical fusion?

The most common outpatient spinal fusion procedure will be on the anterior cervical spine using CPT 22554. On the posterior spine, the more common procedures include the posterolateral fusion (22612) and the interbody fusion (22630).

What is the CPT code for removal of spinal hardware?

The removal codes (22850, 22852, and 22855) should be used when taking out hardware is all that is being done and not used when insertion or reinsertion is performed.

What is the ICD 10 code for cervical radiculopathy?

ICD-10 code: M54. 12 Radiculopathy Cervical region.

What is the ICD-10 code for status post spinal surgery?

Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.

What is the ICD-10 code for status post fusion?

Fusion of spine, site unspecified M43. 20 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 M43. 20 became effective on October 1, 2021.

What is Microdiscectomy surgery?

Microdiscectomy is a surgical procedure for the relief of pain and other symptoms that occur when a herniated disc in the spine presses on an adjacent nerve root. During the operation, the surgeon frees the nerve by removing small fragments of disc, bone and ligament.

How many times can a discectomy be coded?

When discectomy is performed on multiple levels (cervical, thoracic, lumbar, sacral, cervicothoracic, thoracolumbar or lumbosacral) each intervertebral disc would be coded, but only once per level (i.e., cervical, thoracic, lumbar, etc.) An example would be a patient that has L3-S1 partial discectomies.

What is discectomy in medical terms?

A discectomy can be either an excision (partial/removal of part of the disc) or a resection (total/removal of the entire disc). The operative report should describe if part or all of the disc material is removed.

What is discectomy surgery?

A discectomy is surgical removal of any herniated or damaged disc in the patient’s spine. When a disc is herniated (slipped, ruptured, bulging or prolapsed disc), the spinal nerves may become irritated and “pinched.”. The discectomy does not provide relief with the actual back/neck pain, but does typically relieve the associated radiating pain ...

Does discectomy help with back pain?

The discectomy does not provide relief with the actual back/neck pain, but does typically relieve the associated radiating pain (radiculopathy) from the pressure/irritation on the spinal nerve.

What is PCM disc?

The PCM Cervical Disc is a two-piece articulating device comprised of two cobalt chromium molybdenum (CoCrMo) alloy metal endplates, one cephalad and one caudal, and an ultra-high molecular weight polyethylene (UHMWPE) spacer fixed to the caudal endplate. It is indicated for use in skeletally mature patients for reconstruction of a degenerated cervical disc at one level from C3-C4 to C6-C7 following single-level discectomy for intractable radiculopathy (arm pain and/or a neurological deficit), with or without neck pain, or myelopathy due to a single-level abnormality localized to the disc space and manifested by at least one of the following conditions confirmed by radiographic imaging (CT, MRI, x-rays): herniated nucleus pulposus, spondylosis (defined by the presence of osteophytes), and/or visible loss of disc height as compared to adjacent levels. The PCM Cervical Disc is implanted using an anterior approach. Patients should have failed at least six weeks of conservative treatment prior to implantation of the PCM Cervical Disc.

What is CPT code?

When physicians bill for services being performed, they use Current Procedural Terminology (CPT®) codes. Each CPT code has an assigned number of relative value units (RVUs) that attempt to compare the physician work, malpractice costs, and practice expenses associated with a given procedure or service to those associated with all other procedures or services . Medicare annually revises a dollar conversion factor that, when multiplied by CPT code RVUs, results in the national Medicare reimbursement for that code.

Is cervical artificial disc replacement necessary?

Cervical artificial disc replacement is proven and medically necessary for treatment of persons with symptoms of degenerative disc disease at one level even if they have radiological evidence of degenerative disc disease at multiple levels . Radiologic evidence of degenerative disc disease is common in persons who are middle aged and older and does not necessarily correlate with clinical symptoms. Cervical artificial total disc replacement is proven and medically necessary for the treatment of symptomatic contiguous two level degenerative disc disease in skeletally mature patients when used according to U.S. Food and Drug Administration (FDA) labeled indications. (Note: not all cervical artificial discs have FDA labeling for contiguous two level degenerative disc disease. Only cervical artificial discs FDA labeled for contiguous two level disease are proven and medically necessary for this indication.) Cervical artificial disc replacement at one level combined with cervical spinal fusion surgery at another level (adjacent or non-adjacent) performed at the same surgical setting is unproven and not medically necessary. This is commonly referred to as a hybrid surgery. There is insufficient published clinical evidence in peer-reviewed medical literature demonstrating the safety and efficacy of combination cervical spine surgery at multiple adjacent or non-adjacent levels.

Do you need a letter of medical necessity for cervical disc arthroplasty?

It is not always necessary to submit a Letter of Medical Necessity (LOMN). However, a letter from the treating physician may help to ensure approval for cervical disc arthroplasty using the PCM® device. The LOMN should contain the following elements:

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