The biggest issue with these is that you HAVE to bill it with the appropriate medically necessary diagnosis. For Medicare, this is 721.3, 724.8 (Only if the patient has Facet Syndrome) and 733.82 (Only if the patient has Pseudoarthrosis). I have seen some arguement over whether or not you can code 721.3 for Lumbar Facet Arthopathy, with about 50-50 either direction. I always code 721.3 for Lumbar Facet Arthropathy, and you can find many ICD-9 terminology sites that state that is an alternative term for 721.3. Also, if you look it up using your ICD-9 book, arthopathy leads you to arthritis, and when you choose the lumbar region, it codes to 721.3.
I hope that helps. ?
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