icd 10 code for lumbar facet joint pain

by Stella Hettinger 5 min read

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.

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.Jul 28, 2016

Full Answer

What are the symptoms of Facet joint syndrome?

  • Localized pain. Facet joint pain is usually described as being a dull ache in the lower back.
  • Referred pain. When pain is “referred,” it means it appears in a different part of the body than the actual source of the pain. ...
  • Radiating pain. ...
  • Tenderness to the touch. ...

What are the symptoms of Facet syndrome?

  • Neck pain
  • Difficulty moving the head (needing to turn the whole body to look to the left or right)
  • Headaches
  • Radiating pain throughout upper neck, shoulders, and upper or middle back, as well as back of the head

What causes cervical facet syndrome?

Cervical Facet Syndrome can be caused due to numerous causes. A trauma to the neck region may result in irritation of the facet joints causing Cervical Facet Syndrome. Also people who spend long hours sitting in front of the computer put a lot of pressure on the facet joint resulting in them getting degenerated at a rapid pace causing Cervical ...

What is the ICD 10 code for facet syndrome?

These include chronic pain due to trauma, like a bone fracture, chronic post-procedural pain (such as long-lasting pain after surgery), central pain syndrome and chronic pain syndrome, along with catch-all codes for diseases of the nervous system and for otherwise unclassified pain.

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What is lumbar facet joint pain?

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.

What is the ICD-10 code for facet hypertrophy of lumbar?

38.

Is lumbar facet arthropathy the same as Spondylosis?

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.

Is facet arthropathy the same as facet arthritis?

What is facet arthropathy? Like any joint, the facet joints can develop arthritis. This type of arthritis is called facet arthropathy. It may also be called facet joint osteoarthritis (FJOA).

What is diagnosis code M53 82?

82: Other specified dorsopathies Cervical region.

What is facet joint hypertrophy?

Facet Hypertrophy is the term used to describe a degeneration and enlargement of the facet joints. The facet joints, which are a pair of small joints at each level along the back of the spine, are designed to provide support, stability, and flexibility to the spine.

What is l5 s1 facet arthropathy?

Facet Arthropathy (FA) is a painful, arthritic condition of the facet joints. These joints allow for bending, twisting, and alignment of the spine. The spinal nerves come off the spinal cord between the vertebra and the facet joints.

What is bilateral degenerative facet arthropathy?

Facet arthropathy is a degenerative condition that affects the spine. The spine is made up of segments of vertebrae running along the spinal column. Between each vertebra are two facet joints. The facet joints along the posterior of the spine help align the vertebrae and limit motion.

What is a facet joint?

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 is facet arthropathy?

Facet arthropathy is a form of arthritis affecting joints in the spine. Facet joints are located on the back of your spine. They help provide a counterbalance to the discs inside your spine's vertebrae (the small bones that form your backbone).

What type of joint is a facet joint?

synovial jointsThe facet joints runs in pairs down the entire spine on each side. And the facet joints are true synovial joints. They have a synovial membrane and the allow for motion of the spine. The orientation of the facet joint dictates how that facet joint will allow motion.

What is the name of the joint in the posterior aspect of the spine?

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.

Does facet syndrome include degeneration?

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.

Is facet syndrome a ICd 10?

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.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

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.

General Information

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

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L34892, 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.

General Information

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

Article Guidance

Refer to the Local Coverage Determination (LCD) Facet Joint Interventions for Pain Management, for reasonable and necessary requirements and frequency limitations.

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.

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.

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