ICD-10 Coding for Neurogenic Claudication(M48.062)
Complete ICD-10-CM coding and documentation guide for Neurogenic Claudication. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neurogenic Claudication
M48.06-M48.07Primary Range
Spinal stenosis, lumbar region
This range includes codes for lumbar spinal stenosis with and without neurogenic claudication.
Nerve root and plexus compressions in diseases classified elsewhere
Used when nerve root compression is documented alongside spinal stenosis.
Key Information: ICD-10 code for neurogenic claudication
Essential facts and insights about Neurogenic Claudication
Primary ICD-10-CM Code for neurogenic claudication
Decision Criteria
clinical Criteria
- Presence of neurogenic claudication symptoms and imaging confirmation
documentation Criteria
- Explicit mention of neurogenic claudication in patient records
Applicable To
- Lumbar stenosis with neurogenic claudication
Excludes
- Vascular claudication (I73.9)
Clinical Validation Requirements
- MRI or CT showing lumbar stenosis with nerve compression
- Symptom relief with sitting or bending forward
Code-Specific Risks
- Confusion with vascular claudication if documentation is unclear
Coding Notes
- Ensure documentation specifies neurogenic claudication to avoid incorrect coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Nerve root and plexus compressions in diseases classified elsewhere
G55.3Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Spinal stenosis, lumbar region without neurogenic claudication
M48.061Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Neurogenic Claudication to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M48.062.
Impact
Clinical: Misdiagnosis or inappropriate treatment plans., Regulatory: Potential for audit issues., Financial: Loss of reimbursement due to incorrect coding.
Mitigation Strategy
Use standardized templates for documentation, Educate clinicians on documentation requirements
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data and statistics.
Mitigation Strategy
Always specify M48.061 or M48.062 based on the presence of neurogenic claudication.
Impact
Lack of specific documentation for neurogenic claudication can lead to audit findings.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Neurogenic Claudication, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neurogenic Claudication
Use these documentation templates to ensure complete and accurate documentation for Neurogenic Claudication. These templates include all required elements for proper coding and billing.
Neurosurgery Progress Note
Specialty: NeurosurgeryRequired Elements
- Subjective symptoms
- Objective findings
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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