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facet arthropathy - Lumbar : , L3, L4, L5 and S1 what is the ICD ?
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Wiki facet arthropathy
- Thread starter Nagaraju.Eeda@omegahms.com
- Start date
mcnaryk
Guru
we tend to use M12.88 for facet arthropathy
Kristie123
New
M12.88 or M12.9 ?
Can anyone reply as to which one is more correct the M12.88 or M12.9, or would both be acceptable ?
Can anyone reply as to which one is more correct the M12.88 or M12.9, or would both be acceptable ?
When we search Arthropathy it guides to see Arthritis
Arthritis – Spine it shows See also Spondylopathy Inflammatory
Arthropathy (see also Arthritis)M12.9-----Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute); spine - see also Spondylopathy, inflammatory--
so the correct code is M46.97
Arthritis – Spine it shows See also Spondylopathy Inflammatory
Arthropathy (see also Arthritis)M12.9-----Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute); spine - see also Spondylopathy, inflammatory--
so the correct code is M46.97
Dmullenix
New
We use M46.96 for lumbar and M46.97 for lumbosacral
thomas7331
Guest
Our local MAC's LCD for facet joint injections and ablations (link below) instructs to use M12.88 for facet arthropathy.
This code is also accessible via the ICD-10 index through this path: arthropathy -> specified form NEC -> vertebrae
https://www.cms.gov/medicare-covera...&DocType=Active&Accept=Y&bc=AgACAAIAIAAAAA==&
This code is also accessible via the ICD-10 index through this path: arthropathy -> specified form NEC -> vertebrae
https://www.cms.gov/medicare-covera...&DocType=Active&Accept=Y&bc=AgACAAIAIAAAAA==&
Last edited:
rmwinder
Networker
bhavana...
I fell into that trap too.
However, unless there is a specific type of arthritis, Coding Clinic 2016, 4th quarter, instructs us to default to "osteoarthritis", M19.--. M46 category is Inflammatory spondylopathy category...which we couldn't select from unless the physician actually documented "inflammatory arthritis/spondylopathy"...even though it looks like that is the coding path in the ICD-10 index. So, in the absence of further verbiage of "inflammatory", and only having the term arthritis, I would follow Coding Clinic guidance and select a code from the M19.-- category. As thomas7331 has shown, if you have the term "arthropathy" documented, you can follow the path in ICD-10 index and get to M12.88. I've pasted the Coding Clinic, and a snip from the Coders Desk Reference. It's all in the verbiage, and believe me, I had to study this for a while!
Rhonda Winder, CPC, CPMA, CRC
I fell into that trap too.
However, unless there is a specific type of arthritis, Coding Clinic 2016, 4th quarter, instructs us to default to "osteoarthritis", M19.--. M46 category is Inflammatory spondylopathy category...which we couldn't select from unless the physician actually documented "inflammatory arthritis/spondylopathy"...even though it looks like that is the coding path in the ICD-10 index. So, in the absence of further verbiage of "inflammatory", and only having the term arthritis, I would follow Coding Clinic guidance and select a code from the M19.-- category. As thomas7331 has shown, if you have the term "arthropathy" documented, you can follow the path in ICD-10 index and get to M12.88. I've pasted the Coding Clinic, and a snip from the Coders Desk Reference. It's all in the verbiage, and believe me, I had to study this for a while! Rhonda Winder, CPC, CPMA, CRC
3rd quarter 2019: code to Spondylosis. M47.81-