Complete ICD-10-CM coding and documentation guide for icd-10 coding for failed back surgery syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Failed Back Surgery Syndrome
Use ICD-10 code M96.1 for postlaminectomy syndrome, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Low back pain
Use if axial pain predominates.
Chronic pain syndrome
Add if pain persists >3 months with functional impairment.
The ICD-10 code for failed back surgery syndrome is M96.1, which is used for postlaminectomy syndrome when symptoms are linked to prior spinal surgery.
Documentation for failed back surgery syndrome should include a history of spinal surgery, imaging findings like epidural fibrosis, and explicit mention of postlaminectomy syndrome.