ICD-10-CM Diagnosis Code M43.26. Fusion of spine, lumbar region. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code Z47.89 [convert to ICD-9-CM] Encounter for other orthopedic aftercare. Orthopedic aftercare; Orthopedic aftercare done; Removal of cast; Removal of cast done.
Fusion of thoracolumbar spine; Thoracolumbar ankylosis. ICD-10-CM Diagnosis Code M43.25. Fusion of spine, thoracolumbar region. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code Z48.89 [convert to ICD-9-CM] Encounter for other specified surgical aftercare.
Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code M43.26 Fusion of spine, lumbar region 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code M43.26 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 M43.26 became effective on October 1, 2021.
Oct 01, 2021 · Z47.89 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 Z47.89 became effective on October 1, 2021. This is the American ICD-10-CM version of Z47.89 - other international versions of ICD-10 Z47.89 may differ.
If the line between acceptable and unacceptable uses of aftercare codes still seems a bit fuzzy, just remember that in most cases, you should only use aftercare codes if there’s no other way for you to express that a patient is on the “after” side of an aforementioned “before-and-after” event.
ICD-10 introduced the seventh character to streamline the way providers denote different encounter types—namely, those in volving active treatment versus those involving subsequent care. However, not all ICD-10 diagnosis codes include the option to add a seventh character. For example, most of the codes contained in chapter 13 of the tabular list (a.k.a. the musculoskeletal chapter) do not allow for seventh characters. And that makes sense considering that most of those codes represent conditions—including bone, joint, or muscle conditions that are recurrent or resulting from a healed injury—for which therapy treatment does progress in the same way it does for acute injuries.
Essentially, you are indicating that the patient is receiving aftercare for the injury. Thus, you should not use aftercare codes in conjunction with injury codes, because doing so would be redundant. 3. You can use Z codes to code for surgical aftercare.
In situations where it’s appropriate to use Z codes, “aftercare codes are generally the first listed diagnosis,” Gray writes. However, that doesn’t mean the Z code should be the only diagnosis code listed for that patient.
In many cases, yes; a patient who undergoes surgery mid-plan of care should receive a re-evaluation. However, per the above-linked article, "some commercial payers may consider the post-op treatment period a new episode of care, in which case you’d need to use an evaluation code.".
Even so, therapists should only use ICD-10 aftercare codes to express patient diagnoses in a very select set of circumstances.