Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
A
Code: M54.5

Code Name: ICD-10 Code for Cerebral infarction, unspecified

Block: Other dorsopathies (M50-M54)

Excludes 1: current injury - see injury of spine by body region
discitis NOS (M46.4-)

Details: Low back pain

Guidelines: Diseases of the musculoskeletal system and connective tissue (M00-M99)

Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Excludes 2: arthropathic psoriasis (L40.5-)
certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
compartment syndrome (traumatic) (T79.A-)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

For more details, visit: https://www.aapc.com/codes/icd-10-codes/M54.5

scalles0

New
Messages
5
Best answers
0
I encounter this interesting DX yesterday & I want to get your opinion on it:

LBP [lower back pain] c̅ L3-L4 levoscoliosis, c̅ (R) radiculopathy + retro/anterolisthesis

How would you code it? And why those codes?
 

bymgmt

Guest
Messages
1
Best answers
0
The DX provided is somewhat vague. I will try to explain as much as possible..

Levoscoliosis is a kind of scoliosis where your spine twists and curves toward the left side of your body in a C shape. Sometimes, your spine will form an S shape, with a right arc — dextroscoliosis — and a left arc — levoscoliosis. (“levo” means left).
Unlike other types of scoliosis (i.e. Idiopathic, Neuromuscular), there are no specific ICD-10s that indicate Levoscoliosis. So you can use M41.8X - Other forms of scoliosis, where "X" would specify the region.
Since you mentioned lower back, I assume you would use M41.86 (Lumbar) or M41.87 (Lumbosacral).

Spondylolisthesis is the condition of one vertebra slipping over the vertebra below it. Anterolisthesis means it slipped forward, or anterior in direction. Retrolisthesis means it slipped backward, or retro- in direction.
I am unsure how the DX indicated (retro/anterolisthesis) would include both retro & anterior slip of vertebra, but both are forms of spondylolisthesis, and to my knowledge, would have the same ICD-10 M43.1X; that is M43.16 & M43.17 for Lumbar and Lubmosacral respectively.
 

scalles0

New
Messages
5
Best answers
0
The DX provided is somewhat vague. I will try to explain as much as possible..

Levoscoliosis is a kind of scoliosis where your spine twists and curves toward the left side of your body in a C shape. Sometimes, your spine will form an S shape, with a right arc — dextroscoliosis — and a left arc — levoscoliosis. (“levo” means left).
Unlike other types of scoliosis (i.e. Idiopathic, Neuromuscular), there are no specific ICD-10s that indicate Levoscoliosis. So you can use M41.8X - Other forms of scoliosis, where "X" would specify the region.
Since you mentioned lower back, I assume you would use M41.86 (Lumbar) or M41.87 (Lumbosacral).

Spondylolisthesis is the condition of one vertebra slipping over the vertebra below it. Anterolisthesis means it slipped forward, or anterior in direction. Retrolisthesis means it slipped backward, or retro- in direction.
I am unsure how the DX indicated (retro/anterolisthesis) would include both retro & anterior slip of vertebra, but both are forms of spondylolisthesis, and to my knowledge, would have the same ICD-10 M43.1X; that is M43.16 & M43.17 for Lumbar and Lubmosacral respectively.


Thank you, that was really informative
 
Top