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stenosis question please?

  1. #11
    Medical Coding Books

    I have Ingenix's Diagnoses Coder's Desk Reference, they say this: "To ensure correct code assignment of a herniated disc, the physician should include in the documentation the presense or absence of myelopathy. Spinal Stenosis that is not documented as being degenerative or congential is classified to categories 723-724; however, it is advisable to ask for clarfication from the physician before assigning a nonspecific code. The physician should document the type of spinal stenosis, such as degenerative or congenital, in the medical record. Degenerative spinal stenosis is classified to category 722. Congenital spinal stenosis is classified to categories 723-724.

    They don't mention stenosis being include in the 721 codes for spondylosis but you can also see when this code being used and the stenosis would be included in these codes.
    If he states the spinal region and spinal stenosis like they said above not specified as congential or degenerative you could use 723.0 for cervical, 724.01 thoracic, or 724.02 for lumbar.

  2. Default
    thank you so much for all your help!!!

  3. #13
    Stenosis for lumbar 724.02, cervical 723.0, thoracic 724.01, or unspecified 724.00 might work in your case. In regards to foraminal or central, with this code set they do not differ between these separate anatomical locations.

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