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]
Postoperative diagnosis: Same. Procedure: Right-sided L3-4 synovial facet cyst aspiration. This patient presents with a synovial cyst of the facet joint. The synovium refers to the tissue that lines this joint, and which produces lubricating fluid for the area.
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.
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.
For a ganglion cyst treatment, report 20612 Aspiration and/or injection of ganglion cyst(s) any location, regardless of the location. For multiple ganglion cysts, report 20612 and append modifier 59 Distinct procedural service.
Facet joint cysts, also called synovial cysts, are benign, fluid-filled sacs that develop due to degeneration of the facet joints of the spine.
Tarlov cysts are sacs filled with cerebrospinal fluid that most often affect nerve roots in the sacrum, the group of bones at the base of the spine.
The facets are the small, bony joints that connect the spine's vertebrae. Each vertebral segment has two facet joints, one on each side. The lumbar facet joints guide motion in the lower back. These joints provide stability and control but also allow for motion in the spine, so that you can bend and twist.
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.
Microdiscectomy, also sometimes called microdecompression or microdiskectomy, is a minimally invasive surgical procedure performed on patients with a herniated lumbar disc. During this surgery, a surgeon will remove portions of the herniated disc to relieve pressure on the spinal nerve column.
Synovial cysts are benign (non-cancerous). If they remain small, they will not cause pain and do not require treatment.
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.