icd code for s/p si joint fusion

by Isadore Gorczany 3 min read

Fusion of spine, sacral and sacrococcygeal region
M43. 28 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 M43. 28 became effective on October 1, 2021.

What is the ICD 10 code for fusion of the spine?

Fusion, fused (congenital) spine (acquired) M43.20 ICD-10-CM Diagnosis Code M43.20. Fusion of spine, site unspecified 2016 2017 2018 2019 Billable/Specific Code. sacrococcygeal region M43.28. sacroiliac (joint) (acquired) M43.28.

What is the ICD 10 code for sacroiliac fusion?

Fusion of spine, sacral and sacrococcygeal region. M43.28 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M43.28 became effective on October 1, 2020.

What is the CPT code for sacroiliac joint arthrodesis?

CPT Code Description 2022 Medicare Rate 27279 Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device. [For bilateral procedure report 27279 with modifier -50]

Where to place guide pins in SI joint?

Guide pins were then place superior and inferior at a 90 degree angle to eachother under C-arm quidance thru the incisions made into the superior third and inferior third of the SI joint. Lateral C-arm view was then taken to check the depth of the pins into the SI joint.

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What is ICD-10 code for SP lumbar fusion?

ICD-10 code M43. 26 for Fusion of spine, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .

What is SI joint fusion?

•A minimally invasive procedure to stabilize an injured sacroiliac joint and relieve pain. •For people who are experiencing intense debilitating pain from an injured sacroiliac joint. •Forty-five minute procedure is minimally invasive, patients are back to routines in a few weeks.

What is the ICD-10 code for osteoarthritis of the sacroiliac joints?

The 2022 edition of ICD-10-CM M46. 98 became effective on October 1, 2021. This is the American ICD-10-CM version of M46.

What is the ICD-10 code for status post spinal surgery?

Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.

Is SI joint fusion back surgery?

The sacroiliac (SI) joint is a common but underrecognized source of continuing back pain in patients who have surgical fusions for the treatment of back pain. Mayo Clinic has developed new techniques for the diagnosis and treatment of patients with SI joint dysfunction.

How do you do SI joint fusion?

Sacroiliac Joint Fusion Procedure A device is used to drill a small hole through the ilium and access the joint. The sacroiliac joint is cleared of ligaments and muscles, and a bone graft and surgical implants are put in place across the joint to encourage bone growth.

What is the ICD-10 code for right sacroiliitis?

ICD-10 code M46. 1 for Sacroiliitis, not elsewhere classified is a medical classification as listed by WHO under the range - Dorsopathies .

What is the ICD-10 code M19 90?

ICD-10 code M19. 90 for Unspecified osteoarthritis, unspecified site is a medical classification as listed by WHO under the range - Arthropathies .

What is the ICD-10 code for bilateral sacroiliitis?

1: Sacroiliitis, not elsewhere classified.

What is the ICD-10 code for history of spinal fusion?

Fusion of spine, lumbar region M43. 26 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 M43. 26 became effective on October 1, 2021.

What is diagnosis code Z98 89?

Other specified postprocedural statesICD-10 code Z98. 89 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for SP laminectomy?

M96. 1 - Postlaminectomy syndrome, not elsewhere classified | ICD-10-CM.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Language quoted from Centers for Medicare and Medicaid Services (CMS), National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy.

Article Guidance

This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint.

ICD-10-CM Codes that Support Medical Necessity

The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the determination.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy L36494-Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint.

ICD-10-CM Codes that Support Medical Necessity

The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

Convert 0SG747Z to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.

Open Approach

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Percutaneous Approach

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

Percutaneous Endoscopic Approach

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

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