ICD-10 Coding for Lumbosacral Spondylosis with Radiculopathy(M47.27)
Complete ICD-10-CM coding and documentation guide for Lumbosacral Spondylosis with Radiculopathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lumbosacral Spondylosis with Radiculopathy
M47.2-M47.9Primary Range
Other spondylosis with radiculopathy
This range includes codes for spondylosis with radiculopathy in various spinal regions, including the lumbosacral region.
Key Information: ICD-10 code for lumbosacral spondylosis with radiculopathy
Essential facts and insights about Lumbosacral Spondylosis with Radiculopathy
Primary ICD-10-CM Code for lumbosacral spondylosis with radiculopathy
Decision Criteria
clinical Criteria
- Presence of radiculopathy symptoms and imaging confirmation of nerve compression
coding Criteria
- Avoid using with M54.16 if radiculopathy is due to spondylosis
Applicable To
- Lumbosacral spondylosis with nerve root compression
Excludes
- Spondylosis without radiculopathy (M47.816)
Clinical Validation Requirements
- Imaging evidence of nerve root compression at the lumbosacral region
- Clinical signs of radiculopathy such as dermatomal pain or sensory loss
Code-Specific Risks
- Misclassification if radiculopathy is not clearly linked to spondylosis
Coding Notes
- Ensure documentation specifies the lumbosacral region and links radiculopathy to spondylosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Radiculopathy, lumbar region
M54.16Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other spondylosis with radiculopathy, lumbar region
M47.26Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lumbosacral Spondylosis with Radiculopathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M47.27.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include imaging results in documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure radiculopathy is documented and use M47.27 instead.
Impact
Lack of clear documentation linking radiculopathy to spondylosis.
Mitigation Strategy
Ensure all clinical notes explicitly state the connection.
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 Lumbosacral Spondylosis with Radiculopathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lumbosacral Spondylosis with Radiculopathy
Use these documentation templates to ensure complete and accurate documentation for Lumbosacral Spondylosis with Radiculopathy. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Assessment of radiculopathy
- Imaging findings
- Clinical correlation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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