Moderate neural foraminal narrowing refers to the gradual constriction of the foramina, which are the nerve passageways in the spinal column that has caused nerve (neural) compression. As we age, these small passageways can slowly close around the nerves they are supposed to protect, resulting in neck and back pain.
They might suggest:
this is for a stenosed spinal canal/cord. if your pt has forminal stenosis (totally different area than the canal)due to osseous defect the dx code is M99.33, for a HNP causing foraminal (where the nerve roots come thru the foramina) stenosis dx would be M51.26 without radiculopathy M51.16 w/radiculopathy Teresa Amorese-CPC,CIRCC
Symptoms of cervical foraminal stenosis may:
There is no distinction made in ICD-10-CM for central canal stenosis vs foraminal stenosis. Therefore, the M48. 0- code covers both/all types of spinal stenosis.
Spinal stenosis is the narrowing of the canals through which the spinal cord travels, foraminal stenosis is the narrowing through which the spinal nerves travel before exiting the spine.
The two general types of spinal stenosis are foraminal stenosis, also called lateral stenosis, which involves compression or inflammation of a spinal nerve; and central canal stenosis, which involves compression or inflammation of the spinal cord.
724.02ICD-9 Code 724.02 -Spinal stenosis, lumbar region, without neurogenic claudication- Codify by AAPC.
Foraminal Stenosis is the narrowing of the cervical disc space caused by enlargement of a joint (the uncinate process) in the spinal canal. The majority of symptoms with this type of cervical spinal stenosis are usually caused by one nerve root on one side.
Foraminal narrowing, or foraminal stenosis, is a condition of the spine that can cause pain and other symptoms resulting from spinal nerve root compression. At every level of the spine, a pair of nerve roots runs through the spinal column via small openings called foramina (singular: foramen).
Foraminal stenosis is the narrowing or tightening of the openings between the bones in your spine. These small openings are called the foramen. Foraminal stenosis is a specific type of spinal stenosis. Nerves pass though the foramen from your spinal cord out to the rest of your body.
Neural foraminal stenosis refers to the narrowing of the small openings between each vertebra in the spine, called foramen, which nerve roots pass through. A type of spinal stenosis, neural foraminal stenosis, does not always cause symptoms. But if a nerve gets compressed in the gap, this will be painful.
Foraminal stenosis occurs when the openings between the spinal vertebrae begin to compress and narrow. This is often caused by herniated discs and degenerative spine disease and can constrict the spinal nerves. Because one of the nerve roots is irritated, this could impair the nerve's capacity to function.
Spinal stenosis, site unspecified M48. 00 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 M48. 00 became effective on October 1, 2021.
ICD-10 Code for Spondylolisthesis, lumbar region- M43. 16- Codify by AAPC.
The MEDICARE listings for Subluxation (the 739 series): 739.0 Occipital Subluxation (Nonallopathic Lesion) 739.1 Cervical Subluxation (Nonallopathic Lesion) 739.2 Thoracic Subluxation (Nonallopathic Lesion) 739.3 Lumbar Subluxation (Nonallopathic Lesion) 739.4 Sacrum or Coccyx Subluxation (Nonallopathic Lesion) 739.5 Pelvic (Ilia or SI) Subluxation (Nonallopathic Lesion) Personally, I prefer the 839 series: (What is an Nonallopathic Lesion?) 839.01 Subluxation of First Cervical Vertebra 839.02 Subluxation of Second Vertebra (.03 = Third, etc.) 839.08 Multiple Cervical Subluxation 722.0 Cervical Disc Disorder w/o Myelopathy 722.71 Cervical Disc Disorder with Myelopathy 723.0 Cervical Spinal Stenosis (usually Disc-related) 728.4 Ligament laxity (observed on flexion/extension films) 723.2 Cervicocranial Syndrome (Barre-Lieou syndrome; Posterior cervical sympathetic syndrome) 723.3 Cervicobrachial Syndrome (diffuse) 723.4 Brachial Neuritis; Cervical Radiculitis; Radicular Syndrome of Upper Extremity 723.5 Torticollis; Contracture of Neck 722.4 Degeneration of Cervical Disc (s) 353.2 Cervical Nerve Root Lesion 724.9 Foraminal Encroachment (Compression) of Nerve Root, Cervical 722.81 Postlaminectomy Syndrome Of Cervical Region 354.1 Median Nerve Neuritis 354.2 Ulnar Nerve Lesion 354.3 Radial Nerve Lesion 719.08 Edema of Cervical Facet Joint 719.48 Arthralgia of Cervical Spine 719.58 Stiffness of Cervical Spine 847.0 Cervical Sprain/Strain 723.2 Cervicocranial Syndrome 351.0 Bell’s Palsy 723.8 Occipital Neuralgia 723.3 Cervicobrachial Syndrome 353.0 Thoracic Outlet Syndrome 726.1 Rotator Cuff Syndrome 726.10 Supraspinatus Syndrome 354.0 Carpal Tunnel Syndrome 524.6 TMJ Dysfunction Syndrome 847.0 Acute post-traumatic torticollis DISCONTINUE USE OF: 333.83 Spasmodic Torticollis - This is generally due to hereditary CNS problems or degenerative CNS problems..
NOTE: Always use the more specific 5 digit code! Cluster Headaches And Other Trigeminal Autonomic Cephalgias 339.00 Cluster headache syndrome, unspecified 339.01 Episodic cluster headache 339.05 Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing 339.09 Other trigeminal autonomic cephalgias Tension Type Headache 339.10 Tension-type headache, unspecified 339.11 Episodic tension-type headache 339.12 Chronic tension-type headache 307.81 Tension Headache Post-traumatic Headache 339.20 Posttraumatic headache, unspecified 339.21 Acute posttraumatic headache 339.22 Chronic posttraumatic headache 339.30 Drug-induced headache, not elsewhere classified Complicated Headache Syndromes 339.41 Hemicrania continua 339.42 New daily persistent headache 339.43 Primary thunderclap headache 339.44 Other complicated headache syndrome Other Specified Headache Syndromes 339.81 Hypnic headache 339.82 Headache associated with sexual activity 339.83 Primary cough headache 339.84 Primary exertional headache 339.85 Primary stabbing headache 339.89 Other specified headache syndromes 784.0 Headache (Facial pain; Pain in head NOS).
Motor Vehicle Traffic Accident Involving Collision With Other Vehicle E812.0 Motor Vehicle Collision w/ Another Vehicle (Injuring Driver) E812.1 Motor Vehicle Collision w/ Another Vehicle (Injuring Passenger) E812.7 Motor Vehicle Collision w/ Another Vehicle (Injuring Pedestrian) Please review the other vehicle accident codes at FlashCode Accidental Fall On or From Stairs or Steps E880.0 Accidental Fall On Or From Escalator E880.1 Accidental Fall On Or From Sidewalk Curb E880.9 Accidental Fall On Or From Other Stairs Or Steps Fall On Same Level From Slipping, Tripping, Or Stumbling E885.9 Fall From Other Slipping, Tripping, Or Stumbling Fall On Same Level From Collision, Pushing, Or Shoving, By or With Other Person E886.0 Fall On Same Level From Collision, Pushing, or Shoving, In Sports E886.9 Fall from collision of pedestrian with another pedestrian (conveyance) Other And Unspecified Accidental Fall E888.0 Fall Resulting In Striking Against Sharp Object E888.1 Fall Resulting In Striking Against Other Object E888.8 Other Fall E916 Struck Accidently by Falling Object Please review other falling object codes at FlashCode Striking Against Or Struck Accidentally By Objects Or Persons E917.0 Striking Against Or Struck Accidentally By Objects or Persons In Sports E917.7 Striking Against Or Struck Accidentally by Furniture with Subsequent Fall E917.8 Striking Against Or Struck Accidentally (Fall in Bathtub) Overexertion And Strenuous And Repetitive Movements Or Loads E927.0 Overexertion From Sudden Strenuous Movement.