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LINDAACOSTA
04-28-2011, 10:01 AM
New coder and I am stuck on cervical spine bulging disc icd-9 code. Is it 722.4?

phickman
04-28-2011, 10:17 AM
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.

ohn0disaster
04-28-2011, 10:28 AM
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! :D

srinivas r sajja
04-29-2011, 04:01 AM
we use 722.9X for bulge

eadun2000
04-29-2011, 10:01 AM
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.

ohn0disaster
04-29-2011, 12:30 PM
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.

jgf-CPC
05-02-2011, 02:47 PM
I would have to agree with 722.0 for bulging disc cervical

NaliniAAPC
05-02-2011, 04:34 PM
Hi,
I too agree with 722.0 cervical spine bulging disc .

Regards,
Nalini CPC

cjacobs
05-03-2011, 12:57 PM
I would have to agree. I use 722.0 for cervical disc bulge as well.