Kyphosis. Kyphosis deformity of spine. Kyphosis, acquired. Kyphosis, idiopathic. ICD-10-CM M40.209 is grouped within Diagnostic Related Group (s) (MS-DRG v37.0): 456 Spinal fusion except cervical with spinal curvature or malignancy or infection or extensive fusions with mcc.
Idiopathic kyphosis of spine. Kyphosis. Kyphosis deformity of spine. Kyphosis, acquired. Kyphosis, idiopathic. ICD-10-CM M40.209 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 456 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc.
ICD-9-CM Spinal Deformity Codes. Ankylosing Spondylitis: 720.00 Spinal Enthesopathy: 720.1 Sacroiliitis, not elsewhere classified: 720.2 Other Inflammatory Spondylopathies: 720.81, 820.89 Unspecified Inflammatory Spondylopathy: 720.9 Cervical Spondylosis with Myelopathy: 721.1 Thoracic or Lumbar Spondylosis with Myelopathy: 721.4 Spondylosis...
Other acquired deformity of back or spine. ICD-9 738.5 is a legacy non-billable code used to specify a medical diagnosis of other acquired deformity of back or spine.
Unspecified kyphosis, site unspecified M40. 209 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 M40. 209 became effective on October 1, 2021.
When the thoracic spine curves outside of the normal range, it creates a "hunchback" look and the shoulders slump forward. If the cervical or lumbar spines lose their lordotic shape and start to curve forward instead, it is an abnormal condition referred to as "kyphosis".
Structural kyphosis is further divided into two types:Primary Structural Kyphosis: This type of kyphosis isn't caused by another condition. One type of primary structural kyphosis is congenital kyphosis. ... Secondary Structural Kyphosis: This type of kyphosis is caused by another condition.
Kyphosis is curvature of the spine that causes the top of the back to appear more rounded than normal. Everyone has some degree of curvature in their spine. However, a curve of more than 45 degrees is considered excessive.
Most cervical kyphosis isn't serious. But if the curve is severe, bones in the spine called vertebrae might pinch the spinal cord. This can damage the spinal cord.
The forward curve of the spine seen in cervical kyphosis is reversible. Treatment with physical therapy can be effective in mild cases. If you have more severe kyphosis, surgery can correct the curve in your spine and relieve symptoms. Cervical kyphosis can cause pain, disability and a decreased quality of life.
Kyphosis alone is rarely disabling, unless it is severe. Generally, it's a combination of spinal conditions that help qualify you for disability benefits.
Cervical kyphosis can occur as the result of an injury to the neck. Vertebral compression fractures cause the vertebral body to collapse into the shape of a wedge. This causes the section of the spine to tip forward, and the resulting imbalance leads to a loss of the normal curvature of the neck.
738.5 is a legacy non-billable code used to specify a medical diagnosis of other acquired deformity of back or spine. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include
Bone changes that come with age, such as spinal stenosis and herniated disks. Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.
Deformities of the spine characterized by abnormal bending or flexure in the vertebral column. They may be bending forward (kyphosis), backward (lordosis), or sideway (scoliosis).
The 2022 edition of ICD-10-CM M43.9 became effective on October 1, 2021.
737.12 is a legacy non-billable code used to specify a medical diagnosis of kyphosis, postlaminectomy. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
References found for the code 737.12 in the Index of Diseases and Injuries:
Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
The second and third osteotomies should be billed as: 22216 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; each additional vertebral segment. This is an add-on code and does not require a modifier.
The Coding Committee has been asked to provide the membership with advice and examples to help understand the complexity of coding and reimbursement issues specific to spine and spinal deformity surgeons. Every effort has been made to be accurate and adhere to the ICD-9 coding conventions and guidelines as well as the CPT rules. However there may be unintended discrepancies or differences of opinion. With that in mind, these articles are not intended to provide legal advice to surgeons and their staffs. The information given by the committee should not be relied upon as an official interpretation of the AMA CPT� code book. The American Medical Association (AMA) is the only entity which can give an official and binding interpretation of the AMA CPT� code book, and should be contacted directly if an official comment is needed or desired. For more information contact the AMA CPT� Network at www.cptnetwork.com. It is our every intention that the articles we prepare for this year�s newsletters are helpful and useful to all members of the SRS and their staffs. - Jeffrey B. Neustadt, MD, Chair, Coding Committee
The first osteotomy should be billed as: 22212 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; thoracic and should be appended with a 51 modifier because it is a 90-day global code.
The instrumentation should be billed as: 22844 Posterior segmental instrumentation; 13 or more vertebral segments. This is an add-on code and does not require a modifier.
For this procedure, the base code is: 22802 Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments. The osteotomies could also be base codes because they are 90-day global codes, but the arthrodesis code has a higher RVU value.
When using the osteotomy codes at multiple levels, some payers require the use of modifier 59 (distinct procedural service) to indicate additional separate levels and other payers require modifier 76 (repeat procedure by same physician). Base Codes: Descriptions.
22848 Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum