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diagnosis code

  1. Default diagnosis code
    Medical Coding Books
    New coder and I am stuck on cervical spine bulging disc icd-9 code. Is it 722.4?

  2. Default A bulging disc by any other name
    I would use 722.0 as the guidelines for this code state to use it for any condition classifiable to 722.2 of the cervical area. 722.2 describes a "displaced" disc also as "extrusion, prolapse, protrusion, or rupture". I think a "bulging" disc best fits this description.

  3. #3
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    Stuart, Florida
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    Default
    Bulging disc, aka herniated disc/ slipped disc/ disc displacement, in the cervical spine codes to 722.0 unless it is stated as "due to trauma" of some sort or unless it is stated as "with myelopathy".

    The way that you would get there, though, is to look in the Index under Displacement > Intervertebral disc and check your Tabular section to make sure you code, according to which level is specified, at the highest specificity possible. I began at Hernia > disc, intervertebral, in the index, which told me to "see Displacement, intervertebral disc". I'm not sure if you have open access to the internet or not but, if you ever come across a term that you cannot find, you may want to just do a quick search to see if there are any other terms that are interchangeable which may help you, like the terms I gave you which are interchangeable with a bulging disc.

    Anyway, hope this helps!
    Vanessa Mier, CPC

  4. Default
    we use 722.9X for bulge

  5. Default
    Quote Originally Posted by srinivas r sajja View Post
    we use 722.9X for bulge
    Wow.. why is everybody today wanting to code to a nonspecified code? The code for a bulging cervical disc is 722.0 unless of course the patient also has myelopathy.

  6. #6
    Location
    Stuart, Florida
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    331
    Default
    Quote Originally Posted by eadun2000 View Post
    Wow.. why is everybody today wanting to code to a nonspecified code? The code for a bulging cervical disc is 722.0 unless of course the patient also has myelopathy.
    722.9X isn't even the correct code for bulging disc unspecified. The unspecified code for bulging disc is 722.2. 722.9X is just the wrong assignment altogether.
    Vanessa Mier, CPC

  7. #7
    Default
    I would have to agree with 722.0 for bulging disc cervical

  8. Default
    Hi,
    I too agree with 722.0 cervical spine bulging disc .

    Regards,
    Nalini CPC

  9. #9
    Default
    I would have to agree. I use 722.0 for cervical disc bulge as well.
    Catrina Jacobs, RCC, CPC

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