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

ICD-10 Coding for Lumbar Facet Syndrome

M46.96
M47.816

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

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

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

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

Primary ICD-10-CM Codes

Inflammatory spondylopathy, lumbar region

Billable Code
M46.96
Billable

Diagnostic Criteria

clinical:
  • • Imaging shows facet degeneration without spinal osteoarthritis
documentation:
  • • Documentation specifies 'facet arthropathy' or 'facet joint pain'

Applicable To

  • • Facet arthropathy
  • • Facet joint pain

Important Notes

  • • Ensure documentation specifies 'facet joint' to avoid incorrect coding.

Spondylosis without myelopathy or radiculopathy, lumbar region

Billable Code
M47.816
Billable

Diagnostic Criteria

clinical:
  • • Radiographic evidence of disc degeneration with facet changes
  • • Absence of radiculopathy or myelopathy

Applicable To

  • • Degenerative joint disease

Important Notes

  • • Ensure documentation differentiates between spondylosis and facet arthropathy.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use for symptom management when no definitive facet diagnosis is made.

Frequently Asked Questions

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

The ICD-10 code for lumbar facet syndrome is M46.96, used when documentation specifies 'facet arthropathy' or 'facet joint pain'.

How do you code facet joint injections?

Facet joint injections are coded using CPT codes 64490-64495, with the N-1 rule applied for levels. Documentation must specify joint levels and imaging guidance.

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