Other specified dorsopathies, cervical region. M53.82 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 M53.82 became effective on October 1, 2018.
Cervical facet syndrome, also known as cervical facet disease or cervical osteoarthritis, is the structural deterioration of one or more of the vertebral facet joints in the cervical (upper) segment of the spine, which is mostly located in the neck. This type of osteoarthritis is particularly common later in life, and can lead to significant chronic pain if left untreated.
Treatments that may be performed at home to relieve lumbar facet pain include:
A cervical facet joint injection is an outpatient procedure for diagnosing and treating neck, shoulder, and upper back and headache pain. What are cervical facet joints? Facet joints connect the vertebrae, the bones of the spine. They help guide your spine when you move. The neck area of the spine is called the cervical region.
Cervical facet osteoarthritis, sometimes called cervical facet joint syndrome, is a degenerative condition that causes pain and stiffness in the cervical, or neck, region of the spine. The cervical spine includes the top seven levels of the spine, labeled C1 through C7.
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Other specified dorsopathies, cervical region M53. 82 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 M53. 82 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM M46. 96 became effective on October 1, 2021.
Spondylosis (aka Facet Pain or Facet Disease) is often used interchangeably with osteoarthritis and degenerative joint disease, but they are in fact distinct conditions (which may occur together) with different treatment protocols. Recognizing this is crucial.
ICD-10-CM Code for Arthropathy, unspecified M12. 9.
ICD-10-CM Code for Other spondylosis with radiculopathy, cervical region M47. 22.
ICD-10 code M47. 812 for Spondylosis without myelopathy or radiculopathy, cervical region is a medical classification as listed by WHO under the range - Dorsopathies .
ICD-10 code: M54. 12 Radiculopathy Cervical region.
ICD-10 code M47. 816 for Spondylosis without myelopathy or radiculopathy, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .
Arthropathy is a joint disease, of which arthritis is a type. Arthropathies can be associated with a hematologic (blood) disorder or an infection, such as Lyme disease.
ICD-10 Code for Other spondylosis with radiculopathy, lumbar region- M47. 26- Codify by AAPC.
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.
Cervical spine fractures are reported with codes from category S12, Fracture of the cervical vertebra and other parts of the neck. There are specific codes for the more common types of fractures of each cervical vertebra. In order to assign the most specific codes at each level, the following information is required: C1 vertebra.
If the type of vertebral fracture is not specified, an “unspecified” code is assigned. The two specific codes are for traumatic spondylolisthesis, Type III, and other traumatic spondylolisthesis. An exception is traumatic fractures of the C1 and C 2 vertebrae. Due to the different bony configurations of these two vertebrae, different types of fractures may occur at these levels.
Codes for dislocation and sprains of the joints and ligaments of the neck are found in category S13. This category includes specific codes for traumatic rupture of the disc (S13.0-), subluxation, and dislocation at each interspace (S13.1-), plus sprain of ligaments such as the anterior longitudinal ligament of the cervical spine (S13.4-).
Injuries to the cervical spine may occur with or without associated spinal cord injury. When there is an associated spinal cord injury, it typically is listed first. Injuries of the spinal cord must be documented as:
The facet joint is a synovial joint located between the superior articular process of one vertebra and the inferior articular process of the vertebra directly above it. Facet joints are also referred to as zygapophyseal joints and Z-joints, so watch for these alternative terms in the documentation.
A facet joint injection is a diagnostic procedure used to determine if the patient's spine pain is related to arthropathy of the facet joints. During a facet joint block, an anesthetic is injected into the facet joints where the associated spinal nerves travel to see if it will stop or 'block' the pain. Sometimes a steroid is injected ...
Most coders under or over code facet blocks because of the odd number of nerves to vertebra that occur in the cervical spine. Let's take a moment and review the spinal anatomy you'll need to know for correct code selection.
As there is one more cervical nerve than there are vertebrae, the level listed will no longer match up perfectly starting with the C7-T1 facet joint. Because of the 'extra' C8 nerve, all the nerves of the thoracic, lumbar and sacral/coccygeal regions are innervated by the nerve above and below the facet joint.
The next major issue with coding facet joint injections correctly is understanding the documentation. There is an industry standard way to document facet joint injections. When providers do not follow industry standard documentation practices over-coding or under-coding usually occurs.