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.
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
Spinal stenosis, cervical region
ICD-10 Code for Occlusion and stenosis of bilateral carotid arteries- I65. 23- Codify by AAPC.
21.
2 - Occlusion and stenosis of carotid artery.
Carotid artery stenosis is a condition that happens when your carotid artery, the large artery on either side of your neck, becomes blocked. The blockage is made up of a substance called plaque (fatty cholesterol deposits).
With this update, as long as bilateral carotid artery disease is documented with occlusion and stenosis, code I65. 23 (Occlusion and stenosis of bilateral carotid arteries) should be used.
The 2022 edition of ICD-10-CM I25. 84 became effective on October 1, 2021.
Remember that a bilateral study which is not complete (i.e., limited) would be classified by CPT code 93882. For evaluation of carotid arteries, use CPT codes 93880, duplex scan of extracranial arteries, complete bilateral study or 93882, unilateral or limited study.
ICD-10 Codes That Support Medical Necessity and Covered by Medicare Program: Group 1 Paragraph: Extracranial Arteries Studies (93880-93882) Use a diagnosis code of R22. 1 (localized swelling, mass, and lump, neck) to report pulsatile neck mass.
DUPLEX SCAN OF EXTRACRANIAL ARTERIES93880. DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL STUDY.
Description. The Common Carotid artery is a large elastic artery which provides the main blood supply to the head and neck. The carotid arteries are the primary vessels supplying blood to the brain and face.
PSV = peak systolic velocity. EDV = end diastolic velocity.
Moderate stenosis was defined as a peak systolic velocity of 125 to 230 cm/s at the site of maximal luminal narrowing.