what is the icd -10 code for lumbar spine

Full Answer

What is the ICD-9 code for lower back pain?

ICD-9 Code Transition: 724.2 Code M54. 5 is the diagnosis code used for Low Back Pain (LBP). This is sometimes referred to as lumbago.

What is the ICD 10 code for back surgery?

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 the ICD 10 code for lumbar strain?

ICD-10-CM Code for Strain of muscle, fascia and tendon of lower back, initial encounter S39. 012A.

What is the ICD 10 code for spinal fusion?

Fusion of spine, site unspecified M43. 20 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. 20 became effective on October 1, 2021.

What is the ICD 10 code for lumbar discectomy?

Other intervertebral disc displacement, lumbar region The 2022 edition of ICD-10-CM M51. 26 became effective on October 1, 2021.

What is the ICD 10 code for lumbar decompression?

The 2022 edition of ICD-10-CM M96. 1 became effective on October 1, 2021.

What is ICD-10 code S33 5XXA?

Sprain of ligaments of lumbar spineS33. 5XXA Sprain of ligaments of lumbar spine, initial encounter - ICD-10-CM Diagnosis Codes.

What is the ICD-10 code for degenerative disc disease?

ICD-10 code M51. 36 for Other intervertebral disc degeneration, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .

What is the ICD-10 code for lumbar spondylosis?

Spondylosis without myelopathy or radiculopathy, lumbar region. M47. 816 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 M47.

What is the ICD 10 PCS code for lumbar laminectomy?

Release Lumbar Spinal Cord, Open Approach ICD-10-PCS 00NY0ZZ is a specific/billable code that can be used to indicate a procedure.

What is the ICD 10 code for chronic pain?

89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4. If not documented, other symptom diagnosis codes may be utilized.

What is l4 l5 laminectomy?

A lumbar laminectomy involves the removal of the lamina, the back portion of a spinal bone in the lower back. This creates more room within the spinal canal.

What is the ICD 10 PCS code for lumbar laminectomy?

Release Lumbar Spinal Cord, Open Approach ICD-10-PCS 00NY0ZZ is a specific/billable code that can be used to indicate a procedure.

What is the ICD 10 code for aftercare following spinal fusion?

ICD-10-CM Code for Encounter for surgical aftercare following surgery on the nervous system Z48. 811.

What is the ICD 10 code for status post laminectomy?

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

Is a laminectomy the same as a fusion?

A laminectomy will include a fusion component if a patient has experienced slippage of the vertebrae or has a curvature of the spine. The surgeon will fuse the affected vertebrae using a bone graft.

When You Need a Lumbar Discectomy Surgery 101

A lumbar discectomy surgery 101 is considered a “decompression” spinal surgery. A discectomy is sometimes called “herniated disc surgery.” If you are one of them who have a lumbar herniated disc (a fractured disc in your lower spine) and your doctor has advised for surgery, possibilities are you will be developing a lumbar discectomy.

What Does Discectomy Surgery Seem Like?

When it comes to discectomy surgery, the ruptured portion (nucleus pulposus) that is rubbing against your vertebrae and spine is removed. This means that your orthopedic spine specialist will require ingress to your lower spinal part in the middle of the procedure.

Why ICD 10 Code is Used

The ICD 10 CM code (M51.16) can also be used to clarify conditions or terms like the addressing of herniation of intervertebral lumbar disc with sciatica, numbness or tingling of the lumbar spine, nucleus pulposus herniation, herniation of core pulposus of the lumbar intervertebral disc, lumbago with sciatica, lumbar disc prolapse with radiculopathy, and so on.

What is Intervertebral Disc Displacement?

Lumbar disc herniation is a bone rupture of the annulus fibrosis (fibrocartilagenous material) that encompasses the intervertebral disc. This fracture involves removing the disc's central part containing a gelatinous material termed the nucleus pulposus.

Can a Chiropractor Treat Lumbar Herniated Disc

In the case of a lumbar herniated disc, a spine chiropractor can help decrease the pain triggered by a herniated disc. Chiropractic treatment techniques for the lumbar herniated disc include spinal manipulation, physical therapy, and muscle-building exercises.

What is the ICd 10 code for cervical spinal cord injury?

S14.109A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The short definition is unspecified injury at unspecified level of cervical spinal cord. The 2018 edition of ICD-10-CM S14.109A became effective on October 1, 2017.

How many nerves are in the spinal cord?

There are 31 pairs of nerves that leave the spinal cord and go to your arms, legs, chest and abdomen. These nerves allow your brain to give commands to your muscles and cause movements of your arms and legs.

What is the result of spinal cord injury?

For example, signals from the spinal cord control how fast your heart beats and your rate of breathing. Injury to the spinal cord nerves can result in paralysis, affecting some or all of the aforementioned body functions. The result is a spinal cord injury.

Why does my spinal cord hurt?

The common causes are injury and accidents, or from such diseases as polio, spina bifida, Friedreich’s ataxia, and so on. The spinal cord does not have to be severed for a loss of function to occur. In fact, in most people with spinal cord injury, the cord is intact, but the damage to it results in loss of function.

Is spinal cord injury the same as back injury?

Spinal cord injury is very different from back injuries, such as ruptured disks, spinal stenosis or pinched nerves.

What is the T12-L1 code?

Though it is not specifically mentioned, “thoracolumbar” likely only includes T12-L1, and “lumbosacral” probably only refers to the L5-S1 interspace. There is a strange rule for cervical disc disorders indicating that you should code to the most superior level of the disorder.

What character is used for disc disorders?

Only use the fourth character “9” for unspecified disc disorders if the documentation does not indicate anything more than the presence of a disc problem. But beware, payors are expected to ask for clarification if unspecified or “NOS” codes are used.

What is the 5th character of a disc?

9 = unspecified disc disorder. The fifth character provides detail about the anatomical location within the spinal region. A basic knowledge of spinal anatomy should make fifth-character selection easy, but only if it is documented properly. This includes transitionary regions.

Can a spinal disc be coded?

These spinal disc codes appear to be a bit complex, but with some study and evaluation, the logic used to create them becomes clear. The provider can use the codes to guide proper documentation and the coder then can select the right codes with confidence.

Is sciatica a code for lumbar radiculopathy?

It is already included in the code. Likewise, don’t code sciatica (M54.3-) if you code for lumbar disc with radiculopathy. It would be redundant. On a side note, lumbar radiculopathy (M54.16) might be used if pain is not yet known to be due a disc, but it radiates from the lumbar spine.

What are the codes for spinal fusion?

The codes for the anterior spinal fusion are 0SG00AJ (L4-L5) and 0SG30AJ (L5-S1) . Two codes are also assigned for the posterior spinal fusion, 0SG0071 (L4-L5) and 0SG3071 (L5-S1) . Codes 0SB20ZZ and 0SB40ZZ are also assigned for the discectomy performed at two different levels of the spine. Lastly, code 0QB20ZZ is assigned for the harvesting of the right iliac crest bone graft.

What is the qualifier for a spine?

Qualifier: The qualifier character identifies the column of the spine being fused (anterior or posterior) and if the surgical approach is from the front or back of the body (see Figure 1 below).

What is the ICd 10 code for a right iliac crest autograft?

The code for this procedure is 0QB20ZZ, with the body part character (fourth character) being 2 for right pelvic bone. The iliac crest does not have its own distinct body part value in ICD-10-PCS, with the ICD-10-PCS Body Part Key indicating that the pelvic bone is the closest proximal branch.

What is the code for interbody fusion?

If an interbody fusion device is used (alone or containing other material like bone graft), the procedure is coded with the device value Interbody Fusion Device (A)

What is the code for autologous tissue substitute?

If a mixture of autologous and nonautologous bone graft (with or without biological or synthetic extenders or binders) is used, the procedure is coded with device value Autologous Tissue Substitute (7)

What is the ICD-10 PCS?

The implementation of ICD-10-PCS has enhanced the skills of coding professionals as it contains many unique features that provide an opportunity to accurately reflect the complexity of the procedures being performed. The assignment of ICD-9-CM procedure codes for spinal fusions often challenged coding professionals, and this has not changed with the transition to ICD-10-PCS. As with the coding of other complex surgical procedures, coding professionals struggle with identifying which portion of the spinal fusion procedure to code or not to code.

Is segmental instrumentation included in spinal fusion?

As with Examples #1 and #2, the segmental instrumentation is included in the spinal fusion and is not coded separately. The lumbar decompression L4-L5 and L5-S1 bilateral foraminotomies and L3 decompression laminectomy are also considered to be integral to the spinal fusion and not coded separately.