Selecting the correct ICD-10 code for disc disorders can take a little bit of research. There are many options found in the M50 and M51 categories, which are: M51- Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders The fifth character provides detail about the anatomical location within the spinal region.
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.
ICD-10-PCS Procedure Code BR16 Lumbar Facet Joint (s) ICD-10-CM Diagnosis Code M54.16 [convert to ICD-9-CM]
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...
Hypertrophy of bone, other site M89. 38 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 M89. 38 became effective on October 1, 2021.
ICD-10 Code for Intervertebral disc disorders with radiculopathy, lumbar region- M51. 16- Codify by AAPC.
ICD-10 code M51. 36 for Other intervertebral disc degeneration, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .
Facet joint syndrome is an arthritis-like condition of the spine that can be a significant source of back and neck pain. It is caused by degenerative changes to the joints between the spine bones. The cartilage inside the facet joint can break down and become inflamed, triggering pain signals in nearby nerve endings.
722.51 is the correct diagnosis code for thoracic degenerative disc disease. 722.52 is the accurate diagnosis code for DDD of the lumbar or lumbosacral intervertebral disc.
ICD-10 Code M54. 5 for Chronic Low Back Pain | CareCloud.
Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder. M51. 9 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 M51.
Degenerative disc disease or DDD can be the cause of many different symptoms resulting in localized pain or pain that radiates down the leg. Degenerative joint disease or DJD is very different, but can have overlapping symptoms with DDD.
According to Coding Clinic: “Assign code M16. 0—Bilateral primary osteoarthritis of hip for degenerative changes of hips”. Coding Clinic's rationale is, “ICD-10- CM's Alphabetic Index under “Degeneration, joint disease” instructs “see Osteoarthritis.”
The facet joints are the connections between the bones of the spine. The nerve roots pass through these joints to go from the spinal cord to the arms, legs and other parts of the body. These joints also allow the spine to bend and twist, and they keep the back from slipping too far forward or twisting without limits.
Definition/Description. Lumbar facet syndrome refers to a dysfunction at the level of the posterior facet joints of the spine. These joints together with the disc form the intervertebral joint. Changes at the level of the posterior facet joints can influence the disc and vice versa.
If the only documentation is facet arthropathy the index must be followed and the correct code assignment will be M46. 96 Unspecified inflammatory spondylopathy, lumbar region.
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.