Lumbago with sciatica 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code M54.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM M54.4 became effective on October 1, 2021.
Full Answer
b. Lumbago is not assigned an ICD-10-CM code; instead, the code for the cause of the lumbago is assigned. c. Codes for lumbago with sciatica do not further specify laterality.
The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.
What is ICD-10-CM? ICD-10-CM is a morbidity classification published by the U.S. for classifying diagnoses and reason for visits in all healthcare settings.
ICD-10-CM Code for Nondisplaced fracture of shaft of fifth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing S62. 356G.
The following are characteristics of the ICD-10-CM index: - Main terms are in bold type. - Subterms are indented under the main term. - Only the first four characters of some codes are given.
The acronym ICD-10-CM means: International Classification of Diseases, 10th Revision, Clinical Modification.
ICD-10-CM is a seven-character, alphanumeric code. Each code begins with a letter, and that letter is followed by two numbers. The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease. The category is followed by a decimal point and the subcategory.
The ICD-10 manual begins with “ICD-10-CM Official Guidelines for Coding and Reporting” and is then divided into two main parts: first, the alphabetic index of terms with corresponding codes (subdivided into an index of diseases and injuries, an index of external causes, and tables of drugs and neoplasms) and second, ...
The ICD-10-CM is divided into the Tabular List and the Alphabetic Index. The Tabular List is an alphanumerical list of codes divided into chapters based on body system or condition. The Index is an alphabetical list of terms and their corresponding code.
Unspecified fracture of fifth metacarpal bone, right hand, initial encounter for closed fracture. S62. 306A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 5th metacarpal is the metacarpal of the 5th (pinky) finger. The neck of the metacarpal bone is where the main shaft of the bone starts to widen outwards towards the knuckle. Boxers are not the only people who can get a boxer's fracture, but usually the injury results from direct injury to a clenched fist.
Fractures are “breaks” or “cracks” in the bone, usually due to trauma. In severe injuries, multiple metacarpals can be fractured. The fifth metacarpal (the one that attaches to the small finger) is especially susceptible to fracture when punching objects with a closed fist, hence the nickname “Boxer's Fracture”.
The conversion of detailed explanations of diseases, disorders into codes from a specific classification is known as diagnostic coding. World Health Organisation authorizes these diagnosis codes.
a. There is only one generalized code for lumbago that cannot be further specified.
RATIONALE: Code 29883 is for an arthroscopy, knee, surgical; with meniscus repair (medial AND lateral). Look in the CPT® Index for Arthroscopy/Surgical/Knee, which gives a range of codes for procedures on the knee that can be done with an arthroscope.
RATIONALE: An injection of a single tendon sheath, or ligament, aponeurosis (for example: plantar fascia) is coded with a 20550. Look in the CPT® Index for Tendon Sheath/Injection.
Look in the CPT® Index for Cast/Elbow to Finger. Append modifier 58 to indicate this was a related procedure by the same physician during the postoperative period.
In the Tabular List subcategory S62.32 requires a 6th character for laterality and a 7th character for type of encounter. S62.326G is the correct code. ICD-10-CM Guidelines I.19.c states "A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced".
In the CPT® codebook, 25000 and 25001 are for incisions in the tendon sheath on the wrist. Code 25000 is for the extensor tendon and 25001 is for the flexor tendon sheath. What is the difference between extension and flexion?
RATIONALE: Code M80.051A describes a pathological fracture of the right femur; In the ICD-10-CM Alphabetic Index look up Fracture/ pathological/due to/osteoporosis/postmenopausal — see Osteoporosis/postmenopausal/with pathologic fracture. You're directed to M80.00. In the Alphabetic Index there is no listing for femur. Review the subcategories for M80.0 in the Tabular List. Subcategory M80.05 is used to Identify current pathological fracture of femur. 6th character 1 is used for right femur and 7th character A is used for the initial encounter.
In the CPT® codebook, 25000 and 25001 are for incisions in the tendon sheath on the wrist. Code 25000 is for the extensor tendon and 25001 is for the flexor tendon sheath. What is the difference between extension and flexion?
In the CPT® book, 28400 and 28405 are used when coding a calcaneal fracture. What is the difference between these two codes?
29888-RT, 29881-51-RT. This 36 year-old female presents with an avulsed anterior cruciate ligament off the femoral condyle with a complete white on white horizontal cleavage tear of the posterior horn of the medial meniscus, causing instability.