ICD-10 Coding for Cervical Muscle Spasm(M62.831)
Complete ICD-10-CM coding and documentation guide for Cervical Muscle Spasm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cervical Muscle Spasm
M62.8Primary Range
Other muscle disorders
This range includes codes for muscle spasms in various body regions, including the neck.
Key Information: ICD-10 code for cervical muscle spasm
Essential facts and insights about Cervical Muscle Spasm
Primary ICD-10-CM Code for cervical muscle spasm
Decision Criteria
clinical Criteria
- Presence of palpable spasm and restricted neck movement
coding Criteria
- Do not use for generalized muscle cramps
documentation Criteria
- Document specific muscles involved and laterality
Clinical Validation Requirements
- Palpable muscle spasm in the cervical region
- Restricted range of motion in the neck
- Physical exam findings such as tenderness or trigger points
Code-Specific Risks
- Confusing with cervicalgia when pain is present without spasm
- Omitting laterality or specific muscle involvement
Coding Notes
- Ensure documentation specifies the exact location and severity of the spasm.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cervical Muscle Spasm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M62.831.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always document right, left, or bilateral involvement.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use M62.831 for muscle spasm and M54.2 for pain without spasm.
Impact
Inaccurate or incomplete documentation can lead to audit findings.
Mitigation Strategy
Ensure thorough documentation of all clinical findings related to the spasm.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Cervical Muscle Spasm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cervical Muscle Spasm
Use these documentation templates to ensure complete and accurate documentation for Cervical Muscle Spasm. These templates include all required elements for proper coding and billing.
Chronic cervical muscle spasm
Specialty: NeurologyRequired Elements
- Location of spasm
- Severity
- Duration
- Associated symptoms
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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