ICD-10 Coding for Progressive Resistive Exercise for Occiput Posterior Evaluation(M54.2, S13.4XXA)
Complete ICD-10-CM coding and documentation guide for Progressive Resistive Exercise for Occiput Posterior Evaluation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Progressive Resistive Exercise for Occiput Posterior Evaluation
M50-M54Primary Range
Other dorsopathies
This range includes codes for cervicalgia and other cervical spine disorders relevant to occiput posterior evaluation.
Injuries to the neck
Includes codes for cervical sprains and strains, which may be relevant in acute cases.
Other symptoms and signs involving the nervous and musculoskeletal systems
Includes codes for abnormal posture, applicable to occiput posterior positioning.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M54.2 | Cervicalgia | Use when cervicalgia is present with occiput posterior alignment. |
|
| S13.4XXA | Sprain of ligaments of cervical spine | Use for acute cervical sprains with occiput posterior alignment. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for cervicalgia
Essential facts and insights about Progressive Resistive Exercise for Occiput Posterior Evaluation
Primary ICD-10-CM Codes for progressive resistive exercise occiput posterior evaluation
Decision Criteria
clinical Criteria
- Presence of neck pain and occiput posterior alignment
Applicable To
- Neck pain
Excludes
- Cervical disc disorders (M50.-)
Clinical Validation Requirements
- Documented neck pain with occiput posterior alignment
- Physical examination findings
Code-Specific Risks
- Ensure documentation of cervicalgia and alignment issues.
Coding Notes
- Ensure clear documentation of cervicalgia and related symptoms.
S13.4XXA - Sprain of ligaments of cervical spine
Use for acute cervical sprains with occiput posterior alignment.
Applicable To
- Acute cervical sprain
Excludes
- Chronic cervical instability (M53.2)
Clinical Validation Requirements
- Acute injury documentation
- Physical examination findings
Coding Notes
Document acute nature of the injury.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for other preprocedural examination
Z01.818Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Progressive Resistive Exercise for Occiput Posterior Evaluation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M54.2.
Impact
Clinical: Inadequate treatment tracking., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terminology for exercises.
Impact
Reimbursement: May lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation.
Mitigation Strategy
Always pair with a surgical procedure code when applicable.
Impact
Lack of detailed exercise documentation can trigger audits.
Mitigation Strategy
Ensure all exercise details are documented.
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 Progressive Resistive Exercise for Occiput Posterior Evaluation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Progressive Resistive Exercise for Occiput Posterior Evaluation
Use these documentation templates to ensure complete and accurate documentation for Progressive Resistive Exercise for Occiput Posterior Evaluation. These templates include all required elements for proper coding and billing.
Cervical rehabilitation with occiput posterior alignment
Specialty: Physical TherapyRequired Elements
- Patient history
- Objective measurements
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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