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ICD-9 help -- disc bulges, annular tears

  1. Question ICD-9 help -- disc bulges, annular tears
    Medical Coding Books
    I am in limbo on these two diagnoses and have heard differing opinions.

    How do you code disc bulges? I have used 722.10 for lumbar for a long time but have heard this may not be correct.

    Also, how do you code annular tears? I have no clue on this one.

    Thank you
    Mary Baierl, CPC, CCA, CMT

  2. #2
    Kansas City MO
    Default ICD help for anular tear/bulging disc
    We use 722.2 for either of those. It is an unspecified code, but I donot know of another that is more specific to describea not-quite-herniated disc!
    Hope that helps a bit.

  3. #3
    We have always used 722.93 for lumbar disc bulges.

  4. Default
    We use 722.10 for the buldging, the annular depends on the diagnosis but you can usr strain codes...

  5. Default
    i'd go with 722.9x

  6. Default Disk bulging
    722.9x codes states "Other and Unspecified" which you want to stay away from those kind of codes.

    722xx codes are used for Displacements of the spine. When a report lists "extrusion", "bulging", and "protrusion" then those are the codes to choose which area of the spine.

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