icd 10 code for lumbar facet cyst

What is a lumbar facet cyst?

The cysts arise from the zygapophyseal joints of the lumbar spine and commonly demonstrate synovial herniation with mucinous degeneration of the facet joint capsule. Lumbar facet cysts are most common at the L4-L5 level and often are associated with spondylosis and degenerative spondylolisthesis.

What is the ICD-10 code for lumbar synovial cyst?

The ICD-10-CM code M71. 38 might also be used to specify conditions or terms like arthropathy of lumbar facet joint, synovial cyst of lumbar spine or synovial cyst of sacrum.

What is the ICD-10 code for spinal cyst?

G96. 191 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is a synovial cyst in lumbar spine?

Synovial cysts are abnormal fluid-filled sacs in joints in the spine. These cysts are benign, which means they are not cancerous. Synovial cysts typically develop as a result of degenerative changes that occur with aging. They can be found throughout the spine, but are most common in the lumbar region (low back).

What is the ICD-10 code for synovial cyst?

Synovial cyst of popliteal space [Baker], unspecified knee M71. 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 M71. 20 became effective on October 1, 2021.

What is a spine facet?

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.

What causes a facet cyst?

When facet joints age and start to wear down, cartilage, the body's natural lubricant, deteriorates. In response, the body may produce more synovial fluid in an attempt to keep the joints moving smoothly. It is thought that synovial cysts form when this extra fluid builds up inside one section of the synovial sac.

What is fenestration of arachnoid cyst?

Endoscopic cyst fenestration is a minimally invasive technique in which a burr hole is made and an endoscope is guided through the opening. Upon reaching the cyst, the neurosurgeon fenestrates the walls of the cyst, draining the fluid. It is the procedure of choice for most instances of arachnoid cysts.

What is a spinal arachnoid cyst?

An arachnoid cyst is a noncancerous fluid-filled sac that grows on the brain or spinal cord. Symptoms include headaches and seizures, but many arachnoid cysts don't cause symptoms. Treatment isn't always necessary. Providers drain or remove cysts that cause symptoms.Oct 9, 2021

What is the difference between a synovial cyst and a ganglion cyst?

Ganglion cysts arise from myxoid degeneration of the connective tissue of the joint capsule, are filled with viscoid fluid or gelatinous material, and have a fibrous lining. Synovial cysts also contain gelatinous fluid and are lined with cuboidal to somewhat flattened cells consistent with a synovial origin.

How common are lumbar synovial cysts?

Bilateral lumbar facet cysts are rare, with reported frequency of 4% in surgically treated patients for lumbar facet cyst at the Mayo clinic over 24 years [5]. In the lumbar spine, synovial facet cysts are most commonly found at the L4–L5 level (68.4%) followed by the L5–S1 level (21.1%) [6, 7].

What happens when you have a cyst on your spine?

The cysts aren't deadly or cancerous. However, they may cause issues with your spine like spinal stenosis. Spinal stenosis is narrowing or shrinking of the spinal column. Pressure can increase on the spinal cord and the nerves inside the column as the open space inside the spinal column decreases.

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General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33930, Facet Joint Interventions for Pain Management. Please refer to the LCD for reasonable and necessary requirements.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.