• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Clarification on ICD-10-CM Diagnosis Code Selection for Lumbar Medial Branch Block

ShobihaaS

Contributor
Messages
18
Location
Nugegoda, CO
I would like to seek clarification on the appropriate diagnosis code assignment when the operative note lists "Spondylosis without myelopathy or radiculopathy, lumbosacral region" and "Lower back pain" as the pre- and post-operative diagnoses.

My main question is whether the appropriate diagnosis code should be M47.816 (Spondylosis without myelopathy or radiculopathy, lumbar region) or M47.817 (Spondylosis without myelopathy or radiculopathy, lumbosacral region), considering that the procedure was performed at the L4/L5 and L5/S1 levels.

The procedure documented in the operative note is a therapeutic medial branch block performed under fluoroscopic guidance.

I would appreciate your guidance on the correct diagnosis code selection in this scenario.
 
Top