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  1. Default Spondylolisthesis
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    When using ICD-9 codes when dr. has dx of spondylolisthesis with no other information does one use acquired 738.4 or congenital 756.12. I am alittle bit confused? Thank you for your assistance

  2. Smile Acquired Vs. Congenital Spondylolisthesis
    In my opinion, acquired one is more appropriate (unless specified as congenital). Also, patient's age could be helpful - in case of children the probability of congenital is more and in case of adult the acquired one is most likely. But, I have encounted mostly the adult patients' reports so I code 738.4.
    Rahul Srivastava, CPC

  3. #3
    North Carolina
    Here's how my surgeons explained it to me.

    738.4 can be associated with injuries or it can be a condition that develops later in life, thus becoming a degenerative condition.

    756.12 tends to be discovered earlier on...such as a child or young adult. (Cogenital)

  4. Default
    thanks I have been using the acquired mostly cause it has been on older adults unless it would say history of or a child.

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