ICD-10 Coding for Cervical Spasm(M62.830)
Complete ICD-10-CM coding and documentation guide for Cervical Spasm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cervical Spasm
M62.8Primary Range
Other muscle disorders
This range includes codes for muscle spasms, including cervical spasm, which is classified under M62.830.
Radiculopathy
This range is relevant for differential diagnosis when cervical spasm is associated with nerve root involvement.
Cervical disc disorders
This range is used when cervical spasm is secondary to disc disorders with radiculopathy.
Key Information: ICD-10 code for cervical spasm
Essential facts and insights about Cervical Spasm
Primary ICD-10-CM Code for cervical spasm
Decision Criteria
clinical Criteria
- Presence of localized cervical muscle spasm without radiculopathy.
documentation Criteria
- Detailed documentation of muscle spasm characteristics and absence of neurological symptoms.
Clinical Validation Requirements
- Palpable taut band in cervical muscles
- Restricted range of motion
- Absence of neurological deficits
Code-Specific Risks
- Risk of using unspecified codes like M62.838
Coding Notes
- Ensure documentation specifies laterality and duration to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chemodenervation of neck muscle(s)
64616Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Cervical radiculopathy
M54.12Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cervical Spasm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M62.830.
Impact
Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Always include duration in the clinical notes, Use templates that prompt for duration
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Document specific location and characteristics of the spasm to use M62.830.
Impact
High risk of audit if unspecified codes are used without proper documentation.
Mitigation Strategy
Ensure detailed documentation of spasm characteristics and location.
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 Spasm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cervical Spasm
Use these documentation templates to ensure complete and accurate documentation for Cervical Spasm. These templates include all required elements for proper coding and billing.
Acute cervical spasm after physical exertion
Specialty: Physical TherapyRequired Elements
- Subjective: Patient's report of symptoms
- Objective: Physical exam findings
- Assessment: Diagnosis and rationale
- Plan: Treatment strategy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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