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Home/Diagnosis/ICD-10 Coding for Arthropathy of Lumbar Facet Joint

ICD-10 Coding for Arthropathy of Lumbar Facet Joint

M46.96
M47.86

Complete ICD-10-CM coding and documentation guide for icd-10 coding for arthropathy of lumbar facet joint includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lumbar Facet Joint Arthropathy
Facet Joint Syndrome
Facet Arthropathy
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Key Information: ICD-10 Coding for Arthropathy of Lumbar Facet Joint

Essential facts and insights about ICD-10 Coding for Arthropathy of Lumbar Facet Joint

Use ICD-10 code M46.96 for unspecified inflammatory spondylopathy, lumbar region, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified inflammatory spondylopathy, lumbar region

Billable Code
M46.96
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to lumbar region without degenerative changes
documentation:
  • • Documentation states 'facet arthropathy' without degenerative changes

Applicable To

  • • Facet arthropathy without degenerative changes

Important Notes

  • • Ensure documentation specifies the absence of degenerative changes for accurate coding.

Spondylosis, lumbar region

Non-Billable
M47.86
Non-Billable

Diagnostic Criteria

clinical:
  • • Imaging shows degenerative changes
  • • Documentation links arthropathy to spondylosis

Applicable To

  • • Degenerative facet joint disease

Important Notes

  • • Ensure documentation specifies degenerative changes for accurate coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use as a secondary code if pain is a dominant symptom.

G89.4

Chronic pain syndrome

Use if pain persists for more than 3 months.

Frequently Asked Questions

What is the ICD-10 code for lumbar facet arthropathy?

The ICD-10 code for lumbar facet arthropathy without degenerative changes is M46.96. If degenerative changes are present, use M47.86.

How do you code facet joint injections?

Facet joint injections are coded using 64490-64495, depending on the spinal region and number of levels treated.

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