ICD-10-CM Diagnosis Code M71.38 [convert to ICD-9-CM] Other bursal cyst, other site Synovial cyst of lumbar spine; Synovial cyst of sacrum; Synovial cyst, lumbar spine; Synovial cyst, sacrum ICD-10-CM Diagnosis Code M43.26 [convert to ICD-9-CM]
Here is information from Zupko/AANS seminar book " Excision of a snyovial cyst may be reported with a non-neoplasm code or with a laminectomy code depending on the incremental work involved. If fairly straightforward, use a code such as 63047.
I have seen 63267 suggested for removal of the synovial cyst, but the surgeon did not do a laminectomy at that level. He did a laminotomy.
Answer: In this case, the provider documented "total discectomy." Therefore it is coded as a resection. Assign ICD-10-PCS procedure codes as follows: 0RG40A0 Fusion of cervicothoracic vertebral joint with interbody fusion device, anterior approach, anterior column, open approach, for fusion C7-T1
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.
CPT Code: 25111 The cyst is attached to a tendon or a joint through its fibers and contains synovial fluid, which is the clear liquid that lubricates the joints and tendons of the body.
Facet joint cyst should be assigned to M53. 8x Other specified dorsopathies by following the index pathway: disorder, spine, specified = M53. 8x. [Effective 19 April 2013, ICD-10-AM/ACHI/ACS 8th Ed.]
The goal of surgical treatment is to remove the cyst and decompress (provide more room for) the spinal cord and nerve roots. This surgery is similar to a microdiscectomy. After removing the cyst, the surgeon may need to fuse the affected joint.
CPT® Code 63267 in section: Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural.
CPT® Code 63267 - Excision by Laminectomy of Lesion Other Than Herniated Disk Procedures - Codify by AAPC.
Facet joint cysts, also called synovial cysts, are benign, fluid-filled sacs that develop due to degeneration of the facet joints of the spine.
Lumbar facet cysts are most common at the L4-L5 level and often are associated with spondylosis and degenerative spondylolisthesis. Advanced imaging studies have increased diagnosis of the cysts; however, optimal treatment of the cysts remains controversial.
What causes a synovial cyst? Synovial cysts are rare, non-cancerous, and most often develop as a result of wear and tear, or arthritic degeneration, of the facet joint over time. Therefore, they are rarely seen in patients younger than 45, and are most common in those 65 or older. Synovial cysts are rarely dangerous.
What is a ganglion cyst? A ganglion cyst, also known as a synovial cyst, is a benign, fluid-filled cyst found in or around a joint. It is quite common and benign, but it can also be painful and disfiguring. When located inside a joint, a ganglion cyst can limit motion.
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.
Decompression with Spine Fusion Surgery The most reliable treatment method for a synovial cyst is to remove the cyst and then fuse the joint. Fusing the joint stops all the motion at that level of the spine, and without any motion, the cyst should not regenerate.
Body Part: The body part character reflects the level of the vertebrae (cervical, thoracic, lumbar and/or sacral) and the number of vertebral joints fused. The intervertebral joint is the space that is located between any two adjacent vertebrae. One factor in determining the number of fusion codes to assign is how many levels were fused.
Coding professionals must be able to distinguish between what procedures are integral to a spinal fusion and are not assigned additional codes, versus those not considered to be integral and are assigned separate codes. The following are examples of how to make that distinction.
A synovial cyst of the spine is a fluid-filled sac that develops along the spine. It’s the result of degeneration of a facet joint of the vertebrae of the spine. Most synovial cysts develop in the lumbar spine. M71.38, Other bursal cyst, other site.
The body part coded for a spinal vertebral joint(s) rendered immobile by a spinal fusion procedure is classified by the level of the spine (e.g. thoracic). There are distinct body part values for a single vertebral joint and for multiple vertebral joints at each spinal level. Example.