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Home/Diagnosis/ICD-10 Coding for Back Surgery

ICD-10 Coding for Back Surgery

M51.16
G89.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for back surgery includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Spinal Surgery
Lumbar Fusion
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Key Information: ICD-10 Coding for Back Surgery

Essential facts and insights about ICD-10 Coding for Back Surgery

Use ICD-10 code M51.16 for intervertebral disc disorders with radiculopathy, lumbar region, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Intervertebral disc disorders with radiculopathy, lumbar region

Billable Code
M51.16
Billable

Diagnostic Criteria

  • • Presence of radiculopathy confirmed by imaging.

Applicable To

  • • Lumbar disc herniation with radiculopathy

Important Notes

  • • Ensure documentation specifies radiculopathy and imaging findings.

Chronic pain due to trauma

Billable Code
G89.21
Billable

Diagnostic Criteria

  • • Chronic pain documented for more than 3 months post-trauma.

Applicable To

  • • Chronic post-traumatic pain

Important Notes

  • • Document the duration and cause of pain clearly.
Frequently Asked Questions

What is the ICD-10 code for lumbar disc herniation with radiculopathy?

The ICD-10 code for lumbar disc herniation with radiculopathy is M51.16. This code is used when MRI confirms herniation with radiculopathy.

How do you code chronic pain due to trauma?

Chronic pain due to trauma is coded as G89.21. This code is used when pain persists for more than 3 months following trauma.

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