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Wiki Dx help - small posterior disk bulges

PLAIDMAN

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What Dx code are we using for a bulging disk.

pt was in mva doc says "small posterior disk bulges" cervical

cant seem to find anything

Thank You!!
 
I go w/ 722.0
Published in Orthopedic Coding Alert, November 2004

Question: My surgeon's operative report says,”Mild central disk bulge at L4-5 with facet and ligamentum flavum hypertrophy.” Which ICD-9 code should I use for this?

Missouri Subscriber

Answer: Your best bet is code 722.10 (Displacement of thoracic or lumbar intervertebral disk without myelopathy; lumbar intervertebral disk without myelopathy). Also report 724.8 (Other symptoms referable to back) to indicate the facet hypertrophy.

The “mild central disk bulge” indicates displacement of the disk. You can assume that the physician examined a lumbar disk because he documented it at “L4-5,” and “L” indicates lumbar.
 
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