Atypical face pain ICD-10-CM G50.1 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 073 Cranial and peripheral nerve disorders with mcc 074 Cranial and peripheral nerve disorders without mcc
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...
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.
Psychosocial dysfunction due to chronic pain ICD-10-CM G89.4 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 091 Other disorders of nervous system with mcc 092 Other disorders of nervous system with cc
Most commonly, facetogenic pain is the result of repetitive stress and/or cumulative low-level trauma, leading to inflammation and stretching of the joint capsule. The most frequent complaint is axial low back pain with referred pain perceived in the flank, hip, and thigh.
Definition. Facet joint pain (facet syndrome) refers to pain arising from the vertebral facets (zygapophyseal, z-joints) in the neck, mid- or low back.
The typical presentation of someone with “Facet- Mediated Low Back Pain” is low back pain, which is worse with activities (such as walking and standing), and better with sitting. The pain is either on the left, right, or both sides of the low back, and does not travel down the legs.
Typically, facet joint pain feels like a dull ache, localized to one area of the spine. The pain may be experienced on one or both sides, and often in the lower back or neck. Movements toward the affected joint will cause pain.
The facet joints are the connections between the bones of the spine. The nerve roots pass through these joints to go from the spinal cord to the arms, legs and other parts of the body. These joints also allow the spine to bend and twist, and they keep the back from slipping too far forward or twisting without limits.
Spondylosis (aka Facet Pain or Facet Disease) is often used interchangeably with osteoarthritis and degenerative joint disease, but they are in fact distinct conditions (which may occur together) with different treatment protocols. Recognizing this is crucial.
There is, unfortunately, still no ICD-10 code for facet syndrome. But, M53. 8- other specified dorsopathiescan 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.
At the back, the S1 vertebra contains a long bony prominence called the median ridge. There are bony openings (foramina) on the right and left sides of this ridge. L5 and S1 are joined by the lumbosacral facet joints lined with articular cartilage.
Facet Arthropathy (FA) is a painful, arthritic condition of the facet joints. These joints allow for bending, twisting, and alignment of the spine. The spinal nerves come off the spinal cord between the vertebra and the facet joints.
SI joint pain radiates distally. and is rarely, if ever, experienced above the L5 level. Therefore, unlike facet pain, pain located exclusively below the 5th lumbar vertebrae increases the likelihood of the sacroiliac joint being the source.
The facet joints runs in pairs down the entire spine on each side. And the facet joints are true synovial joints. They have a synovial membrane and the allow for motion of the spine. The orientation of the facet joint dictates how that facet joint will allow motion.
Facet joint syndrome and facet joint arthritis can cause hip pain that may not respond to conservative treatments.
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.
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.