ICD-10 Coding for Sequelae of Costovertebral Angle(M54.6, N28.9)
Complete ICD-10-CM coding and documentation guide for Sequelae of Costovertebral Angle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sequelae of Costovertebral Angle
M54-M54.6Primary Range
Dorsalgia, including thoracic spine pain
This range includes codes for thoracic spine pain, which is relevant for musculoskeletal sequelae of the costovertebral angle.
Other disorders of kidney and ureter, not elsewhere classified
This range includes codes for renal sequelae, which may be relevant if the costovertebral angle sequelae are related to past kidney conditions.
Injury of thorax, sequela
This range includes codes for sequelae of thoracic injuries, which may affect the costovertebral angle.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M54.6 | Pain in thoracic spine | Use for chronic thoracic pain with documented costovertebral joint dysfunction. |
|
| N28.9 | Disorder of kidney and ureter, unspecified | Use for renal sequelae related to past kidney infections affecting the costovertebral angle. |
|
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 sequelae of costovertebral angle
Essential facts and insights about Sequelae of Costovertebral Angle
Primary ICD-10-CM Codes for sequelae of costovertebral angle
Decision Criteria
clinical Criteria
- Presence of chronic pain localized to thoracic spine
Applicable To
- Chronic thoracic pain
Excludes
- Low back pain (M54.5)
Clinical Validation Requirements
- Physical exam showing tenderness at specific thoracic levels
- Imaging confirming joint dysfunction
Code-Specific Risks
- Confusion with low back pain codes
Coding Notes
- Ensure documentation specifies thoracic region and links to past injury if applicable.
N28.9 - Disorder of kidney and ureter, unspecified
Use for renal sequelae related to past kidney infections affecting the costovertebral angle.
Applicable To
- Renal sequelae
Excludes
- Acute renal failure (N17)
Clinical Validation Requirements
- Urinalysis showing abnormalities
- Imaging indicating renal scarring
Coding Notes
Link renal sequelae to past infections in documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sequelae of Costovertebral Angle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M54.6.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific anatomical terms, Include detailed patient history
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts accuracy of patient records.
Mitigation Strategy
Ensure context and documentation specify costovertebral angle.
Impact
Inadequate documentation of specific pain location can lead to audit issues.
Mitigation Strategy
Use detailed anatomical descriptions and link to past medical history.
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 Sequelae of Costovertebral Angle, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sequelae of Costovertebral Angle
Use these documentation templates to ensure complete and accurate documentation for Sequelae of Costovertebral Angle. These templates include all required elements for proper coding and billing.
Chronic Thoracic Pain Post-Injury
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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