Diagnosis Code for Reimbursement Claim: ICD-9-CM 724.8. Code will be replaced by October 2015 and relabeled as ICD-10-CM 724.8. The Short Description Is: Other back symptoms.
724.9. ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 724.8 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services.
Sep 04, 2015 · Lumbar Facet Arthopathy We choose to use 721.3. If you use the ICD-9 book, and look up Arthropathy, it also says to 'see Arthritis' in which case you can go to Arthritis and find Lumbar, which states 721.3. Also, here are some links to pages where I have found 721.3 listed with Lumbar Facet Arthopathy as one of the descriptions:
ICD-9-CM 723.8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 723.8 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
We choose to use 721.3. If you use the ICD-9 book, and look up Arthropathy, it also says to 'see Arthritis' in which case you can go to Arthritis and find Lumbar, which states 721.3.
Lumbar Facet Arthropathy#N#Per ICD9 book, at the beginning of Chapter 13. It states "Arthropathies and related disorders 710-719 with an exclusion note that states disorders of spine (720.0-724.9).#N#In my opinion, 721.3 is appropriate.#N#Hope that helps.
Unfortunately the GEMs mapping to ICD-10 for this code is M54.08 Panniculitis affecting region of neck and back, sacrococcygeal region. This is defined as inflammation of subcutaneous adipose tissue, which is not consistent with facet syndrome. This is a great example of how doctors who rely only on GEMs are headed for trouble. However, if the patient really has panniculitis, the this code is perfect.
The facet joints are a pair of joints in the posterior aspect of the spine. Their proper name is zygapophysial joints. These joints can become inflamed due to trauma or overuse and cause back pain. This is called facet syndrome. Unfortunately there was no ICD-9 code for this condition.
However, a patient may have an acute case of facet syndrome which does not include degeneration. And this code does not seem to address these acute cases. The moral of the story is to learn how to use the code book.
There is, unfortunately, still no ICD-10 code for facet syndrome. But, M53.8- other specified dorsopathies can 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.
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.