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Home/Diagnosis/ICD-10 Coding for History of Two-Level Lumbar Fusion

ICD-10 Coding for History of Two-Level Lumbar Fusion

Z98.1
M96.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for history of two-level lumbar fusion includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Two-Level Lumbar Spinal Fusion
Lumbar Fusion at Two Levels
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Key Information: ICD-10 Coding for History of Two-Level Lumbar Fusion

Essential facts and insights about ICD-10 Coding for History of Two-Level Lumbar Fusion

Use ICD-10 code Z98.1 for presence of other specified devices, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Presence of other specified devices

Billable Code
Z98.1
Billable

Diagnostic Criteria

clinical:
  • • Presence of spinal fusion hardware on imaging
documentation:
  • • Clear documentation of prior spinal fusion surgery

Applicable To

  • • History of spinal fusion

Important Notes

  • • Ensure documentation clearly states the history of the procedure and the absence of current complications.

Postlaminectomy syndrome, not elsewhere classified

Billable Code
M96.1
Billable

Diagnostic Criteria

clinical:
  • • Documented symptoms or complications following spinal surgery
  • • Imaging or clinical findings supporting post-surgical syndrome

Applicable To

  • • Post-surgical complications of spinal surgery

Important Notes

  • • Ensure symptoms are documented as directly related to the previous surgery.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use to document associated symptoms like back pain.

M54.16

Radiculopathy, lumbar region

Use to document specific symptoms like radiculopathy.

Frequently Asked Questions

What is the ICD-10 code for history of two-level lumbar fusion?

The ICD-10 code for history of two-level lumbar fusion is Z98.1, indicating the presence of other specified devices.

How do you code complications after lumbar fusion?

Use M96.1 for postlaminectomy syndrome if there are complications following lumbar fusion surgery.

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