jeskla
Networker
Hi,
I think I'm reading too much into this, but please help me if you can. In the example below, the patient comes in for back pain to see our pain management doctor for pain control. I'm wondering whether to use M47.816 or M47.26 for the lumbar spondylosis that is mentioned in the MRI section.
X-Ray Data: MRI of the lumbar spine was reviewed with the patient. Notably Mr. ______ has lower lumbar spondylosis with an L4-left central and subarticular disk protrusion traversing on his left L5 nerve root. He also has an L4-L5 disk bulge with right central and subarticular disk protrusion impinging on the traversing right S1 nerve root.
Assessment:
1. Other chronic pain. -g89.29
2. Mechanical low back pain- not coded
3. L4-L5 degenerative disk disease and disk displacement with right greater than left lumbar radiculopathy. M51.16
I'm wondering if I should use M47.816 (spondylosis without radiculopathy) or M47.26 (with radiculopathy) for the lumbar spondylosis that is mentioned in the MRI section above. Since the assessment portion only has radiculopathy linked to the disc, should I just go with M47.816? Or do I use M47.26 because of the presence of radiculopathy.
Thank you,
J
I think I'm reading too much into this, but please help me if you can. In the example below, the patient comes in for back pain to see our pain management doctor for pain control. I'm wondering whether to use M47.816 or M47.26 for the lumbar spondylosis that is mentioned in the MRI section.
X-Ray Data: MRI of the lumbar spine was reviewed with the patient. Notably Mr. ______ has lower lumbar spondylosis with an L4-left central and subarticular disk protrusion traversing on his left L5 nerve root. He also has an L4-L5 disk bulge with right central and subarticular disk protrusion impinging on the traversing right S1 nerve root.
Assessment:
1. Other chronic pain. -g89.29
2. Mechanical low back pain- not coded
3. L4-L5 degenerative disk disease and disk displacement with right greater than left lumbar radiculopathy. M51.16
I'm wondering if I should use M47.816 (spondylosis without radiculopathy) or M47.26 (with radiculopathy) for the lumbar spondylosis that is mentioned in the MRI section above. Since the assessment portion only has radiculopathy linked to the disc, should I just go with M47.816? Or do I use M47.26 because of the presence of radiculopathy.
Thank you,
J
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