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Cervical Facet Syndrome

  1. #1
    Default Cervical Facet Syndrome
    Medical Coding Books
    Would appreciate some input on a DX code for the above. I'm looking at 723.8 and 724.8 as possiblities.

  2. #2
    Location
    North Carolina
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    I tend to use 724.8

  3. #3
    Location
    Duluth, Minnesota
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    I use 723.8 (it's more specific to the cervical region & does list "cervical syndrom NEC) under the code.

    (not to mention, the 724.0x codes appear to be from the Thoracic area down....... to coccyx. (everything in between). (and actually states "other than cervical" next to the 724.0 catetgory)
    Last edited by dmaec; 05-13-2009 at 09:15 AM.
    Donna, CPC, CPC-H

  4. #4
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    Well Donna...I guess it's just a matter of opinion. Some of my carriers view this differently, too.

    http://www.anthem.com/medicalpolicie...pw_a051156.htm

    http://www.aapmr.org/hpl/pracguide/p...edhlthcare.htm

    As for as the reference to "other than cervical", that pertains to (or at least in my book) to the spinal stenosis codes. Cervical stenosis is 723.0

  5. #5
    Location
    Duluth, Minnesota
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    yes Rebecca, you're correct -the "other than cervical" statement is next to the 724.0x area - spinal stenosis.... (and yes, cervical stenosis is 723.0)
    and
    yes, this might be a matter of opinion, however, if you follow the codes (723.xx.724.xx) down (and up) it's very clear - the 723.XX codes are for "Other disorders of the cervical region", whereas, the 724.xx codes are for "Other and unspecified disorders of back" and range from the Thoracic area all the way down. With no mention of "cervical" under any of them, at least not in my book.

    but again..perhaps as you say - a matter of opinion.
    Donna, CPC, CPC-H

  6. #6
    Location
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    David..I would check the LCD or policies for your particular carriers. I also use 724.8. Most carriers have this on the LCD's as being the dx code for choice for "facet syndrome".

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