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

ICD-10 Coding for Lumbar Facet Arthropathy

M46.96
M47.816

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

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

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

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

  • • Facet joint degeneration on imaging without spondylosis

Applicable To

  • • Facet arthropathy without specific mention of spondylosis

Important Notes

  • • Ensure documentation clearly differentiates between facet arthropathy and spondylosis.

Spondylosis without myelopathy or radiculopathy, lumbar region

Billable Code
M47.816
Billable

Applicable To

  • • Degenerative changes in the spine linked to spondylosis

Important Notes

  • • Ensure spondylosis is documented if using this code.
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 primary focus of care.

Frequently Asked Questions

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

The ICD-10 code for lumbar facet arthropathy is M46.96, used when facet arthropathy is documented without spondylosis.

When should M47.816 be used instead of M46.96?

Use M47.816 when lumbar facet arthropathy is linked to documented spondylosis, indicating degenerative changes.

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