ICD-10 Coding for Lumbosacral Spondylosis without Myelopathy(M47.817)
Complete ICD-10-CM coding and documentation guide for Lumbosacral Spondylosis without Myelopathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lumbosacral Spondylosis without Myelopathy
M47.8-M47.9Primary Range
Other spondylosis with and without myelopathy
This range includes specific codes for spondylosis affecting different spinal regions, including the lumbosacral area without myelopathy.
Key Information: ICD-10 code for lumbosacral spondylosis without myelopathy
Essential facts and insights about Lumbosacral Spondylosis without Myelopathy
Primary ICD-10-CM Code for lumbosacral spondylosis without myelopathy
Decision Criteria
clinical Criteria
- Degenerative changes in the lumbosacral spine without neurological symptoms
documentation Criteria
- Imaging reports confirming absence of nerve compression
Applicable To
- Degenerative changes in lumbosacral spine without neurological involvement
Clinical Validation Requirements
- Imaging showing facet joint osteoarthritis without nerve root compression
- Physical exam indicating no neurological deficits
Code-Specific Risks
- Confusion with unspecified codes like M47.9 when documentation is specific
- Incorrect pairing with radiculopathy codes without clinical justification
Coding Notes
- Ensure documentation specifies the absence of myelopathy or radiculopathy to justify M47.817.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Low back pain
M54.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lumbosacral Spondylosis without Myelopathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M47.817.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Increases risk of audit due to incomplete documentation., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Ensure thorough neurological examination is documented., Include imaging findings in patient records.
Impact
Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: May trigger audits due to use of unspecified codes., Data Quality: Affects accuracy of clinical data and patient records.
Mitigation Strategy
Ensure documentation clearly states the specific spinal region and absence of neurological involvement to use M47.817.
Impact
Increased scrutiny on use of unspecified codes when specific codes are available.
Mitigation Strategy
Ensure documentation supports the use of specific codes like M47.817.
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 without Myelopathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lumbosacral Spondylosis without Myelopathy
Use these documentation templates to ensure complete and accurate documentation for Lumbosacral Spondylosis without Myelopathy. These templates include all required elements for proper coding and billing.
Orthopedic Follow-Up
Specialty: OrthopedicsRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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