Lumbar facet joint arthritis Spondylitis of lumbar spine ICD-10-CM M46.96 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 551 Medical back problems with mcc
Arthritis of facet joint of lumbar spine; Arthritis of low back; Arthritis, low back; Arthropathy of lumbar facet; Arthropathy of lumbar facet joint; Inflammatory spondylopathy of lumbar spine; Lumbar facet joint arthritis; Spondylitis of lumbar spine ICD-10-CM Diagnosis Code M54.16 [convert to ICD-9-CM]
Osteomyelitis of vertebra, lumbar region Osteomyelitis of lumbar vertebra; Osteomyelitis of vertebra of lumbar spine ICD-10-CM Diagnosis Code M00.20 [convert to ICD-9-CM] Other streptococcal arthritis, unspecified joint
M46.96 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M46.96 became effective on October 1, 2018. This is the American ICD-10-CM version of M46.96 - other international versions of ICD-10 M46.96 may differ.
Lumbar osteoarthritis is a form of degenerative arthritis in the low back that causes pain, stiffness, and inflammation in the joints between vertebrae. There are two facet joints on the back of each vertebra that connect the bones of the spine and allow for a small amount of movement.
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.
Code M54. 5 is the diagnosis code used for Low Back Pain (LBP). This is sometimes referred to as lumbago.
M12.9ICD-10-CM Code for Arthropathy, unspecified M12. 9.
9: Dorsalgia, unspecified.
ICD-10 code M54. 5, low back pain, effective October 1, 2021. That means providers cannot use M54. 5 to specify a diagnosis on or after October 1—and existing patients with the M54. 5 diagnosis will need to be updated to a valid ICD-10 code.
6: Pain in thoracic spine.
ICD-9 Code Transition: 723.1 Code M54. 2 is the diagnosis code used for Cervicalgia (Neck Pain). It is a common problem, with two-thirds of the population having neck pain at some point in their lives.
M54. 51 (Vertebrogenic low back pain)...Instead, you'll have to choose from among six new, more specific codes:1 (Acute cough)2 (Subacute cough)3 (Chronic cough)4 (Cough syncope)8 (Other specified cough)9 (Cough, unspecified)
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.
Unspecified osteoarthritis, unspecified site The 2022 edition of ICD-10-CM M19. 90 became effective on October 1, 2021. This is the American ICD-10-CM version of M19. 90 - other international versions of ICD-10 M19.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Language quoted from Centers for Medicare and Medicaid Services (CMS), National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy.
This article contains coding or other guidelines that complement the local coverage determination (LCD) for Lumbar Epidural Injections.
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.
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.
Polyarthritis – Arthritis of 5 or more joints is coded as polyarthritis instead of coding each joint arthritis.
There are several different types of arthritis depending on the causal organism (Gonococcal, Pneumococcal, Streptococcal etc.), Infectious, Juvenile, due to some other disease and many other. Common types of arthritis found in medical records are osteoarthritis and rheumatoid arthritis.
Arthritis is the inflammation of one or many joints which causes common symptoms like stiffness and pain and these get worse when getting older. Treatment can help reducing symptoms, but arthritis cannot be cured totally. Most type of Arthritis can lasts for many years or can be there life long.
Primary Osteoarthritis – Wear and tear of the joint due to age.
Codes from M00.00 to M00.09 – Caused by Staphylococcus
M08.20 to M08.2A – Juvenile RA With systemic onset
Note : “Arthritis_degenerative” also leads to OA