Chiropractic ICD 9 Code List

Transcription

1 Use of valid ICD 9 codes, billed with appropriate and corresponding CPT codes, benefits providers by facilitating treatment authorization and claims payment. The use of valid and appropriate codes also supports the necessity of the services in cases of file review, audit or litigation. Based on ChiroCare's commitment to program integrity and excellence, only valid and appropriate ICD 9 codes will be accepted. Submission of terminated or invalid ICD 9 codes will result in processing and/or payment delays. To help simplify the coding process a list of commonly used and accepted ICD 9 codes is provided below. This list is not intended to represent all ICD 9 codes accepted by ChiroCare however it can be used as a guide in your coding process. In addition to the validity of ICD 9 codes being reported, they must support the type and level of all services being billed. For example, if a patient has been diagnosed with multiple conditions requiring treatment in several spinal and/or extremity regions the diagnosis code(s) reported on the claim form must represent each of the different body regions requiring treatment. In addition, to remain consistent with the ICD 9 CM Official Guidelines for Coding and Reporting, please list the diagnosis/condition primarily responsible for the treatment in the primary position on the claim form. ChiroCare further recommends that the secondary, tertiary and quaternary diagnosis positions on the claim form be used to report additional conditions/regions that are being treated. ICD 9 Diagnosis Code Code Description Cervical Diagnoses Brachial plexus lesions Cervical root lesions, not elsewhere classified Displacement of cervical intervertebral disc without myelopathy Postlaminectomy syndrome, cervical region Cervicobrachial syndrome (diffuse) Brachial neuritis or radiculitis NOS Cervical spondylosis without myelopathy Degeneration of cervical intervertebral disc Spinal stenosis of cervical region Cervicalgia Torticollis, unspecified Other syndromes affecting cervical region Unspecified musculoskeletal disorders and symptoms referable to neck Nonallopathic lesions, head region Nonallopathic lesions, cervical region Dislocation of cervical vertebra, unspecified, closed Dislocation of first cervical vertebra, closed Dislocation of second cervical vertebra, closed Dislocation of third cervical vertebra, closed Dislocation of fourth cervical vertebra, closed Dislocation of fifth cervical vertebra, closed Dislocation of sixth cervical vertebra, closed Dislocation of seventh cervical vertebra, closed Dislocation of multiple cervical vertebrae, closed Sprains and strains of neck

2 Headache Diagnoses Tension headache Classical migraine without intractable migraine Classical migraine with intractable migraine Common migraine without intractable migraine Common migraine with intractable migraine Variants of migraine without intractable migraine Variants of migraine with intractable migraine Other forms of migraine without intractable migraine Other forms of migraine with intractable migraine Migraine, unspecified, without intractable migraine Migraine, unspecified, with intractable migraine Headache Thoracic/Rib Cage Diagnoses Thoracic root lesions, not elsewhere classified Thoracic spondylosis without myelopathy Thoracic intervertebral disc without myelopathy Schmorl's nodes, thoracic region Degeneration of thoracic or thoracolumbar intervertebral disc Postlaminectomy syndrome, thoracic region Spinal stenosis, thoracic region Pain in thoracic spine Tietze's disease Nonallopathic lesions, thoracic region Nonallopathic lesions, rib cage Dislocation of thoracic vertebra, closed Dislocation of sternum, closed Sprains and strains of thoracic Sprains and strains of ribs Sprains and strains of sternum, unspecified site Sprains and strains of sternum, sternoclavicular Sprains and strains of sternum, chondrosternal Sprains and strains of sternum, other

3 Lumbosacral Diagnoses Lumbosacral plexus lesions Lumbosacral root lesions, not elsewhere classified Lesion of sciatic nerve Lumbar intervertebral disc without myelopathy Degeneration of lumbar or lumbosacral intervertebral disc Postlaminectomy syndrome, lumbar region Sciatica Thoracic or lumbosacral neuritis or radiculitis, unspecified Sacroiliitis, not elsewhere classified Lumbosacral spondylosis without myelopathy Schmorl's nodes, lumbar region Spinal stenosis, lumbar region Lumbago Backache, unspecified Disorders of sacrum Disorders of coccyx unspecified Disorders of coccyx, other Other symptoms referable to back Other unspecified back disorders Osteitis condensans Acquired spondylolisthesis Nonallopathic lesions, lumbar region Nonallopathic lesions, sacral region Nonallopathic lesions, pelvic region Spondylolysis, lumbosacral region Spondylolisthesis Dislocation of lumbar vertebra, closed Dislocation of coccyx, closed Dislocation of sacrum, closed Sprains and strains of lumbosacral (joint) (ligament) Sprains and strains of sacroiliac ligament Sprains and strains of sacrospinatus (ligament) Sprains and strains of sacrotuberous (ligament) Sprains and strains of other specified sites of sacroiliac region Sprains and strains of unspecified site of sacroiliac region Sprains and strains of lumbar Sprains and strains of sacrum Sprains and strains of coccyx Sprains and strains of pelvis

4 Lower Extremity Diagnoses Meralgia paresthetica Other lesion of femoral nerve Lesion of lateral popliteal nerve Lesion of medial popliteal nerve Tarsal tunnel syndrome Lesion of plantar nerve Osteoarthrosis, localized, primary, pelvic region and thigh Osteoarthrosis, localized, primary, lower leg Osteoarthrosis, localized, primary, ankle and foot Osteoarthrosis, localized, secondary, pelvic region and thigh Osteoarthrosis, localized, secondary, lower leg Osteoarthrosis, localized, secondary, ankle and foot pelvic region and thigh lower leg ankle and foot Osteoarthrosis, unspecified whether generalized or localized pelvic region and thigh Osteoarthrosis, unspecified whether generalized or localized lower leg Osteoarthrosis, unspecified whether generalized or localized ankle and foot Unspecified monoarthritis, pelvic region and thigh Unspecified monoarthritis, lower leg Unspecified monoarthritis, ankle and foot Other specified arthropathy, pelvic region and thigh Other specified arthropathy, lower leg Other specified arthropathy ankle and foot Arthropathy, unspecified, pelvic region and thigh Arthropathy, unspecified lower leg Arthropathy, unspecified, ankle and foot Old bucket handle tear of medial meniscus Derangement of anterior horn of medial meniscus Derangement of posterior horn of medial meniscus Other and unspecified derangement of medial meniscus Derangement of lateral meniscus unspecified Bucket handle tear of lateral meniscus Derangement of anterior horn of lateral meniscus Derangement of posterior horn of lateral meniscus Loose body in knee Chondromalacia of patella Old disruption of lateral collateral ligament Old disruption of medial collateral ligament Old disruption of anterior cruciate ligament Old disruption of posterior cruciate ligament Old disruption of other ligaments of knee

5 Lower Extremity Diagnoses (Continued...) Loose body in joint, pelvic region and thigh Loose body in joint, ankle and foot Pain in joint, pelvic region and thigh Pain in joint, lower leg Pain in joint, ankle and foot Other symptoms referable to joint, pelvic region and thigh Other symptoms referable to joint, lower leg Other symptoms referable to joint, ankle and foot Enthesopathy of hip region Enthesopathy of knee, unspecified Pes anserinus tendinitis or bursitis Tibial collateral ligament bursitis Fibular collateral ligament bursitis Patellar tendinitis Prepatellar bursitis Enthesopathy of knee, unspecified, other Enthesopathy of ankle and tarsus unspecified Achilles bursitis or tendinitis Tibialis tendinitis Calcaneal spur Enthesopathy of ankle and tarsus, other Tenosynovitis of foot and ankle Plantar fascial fibromatosis Fasciitis, unspecified Chondromalacia Nonallopathic lesions, lower extremity Sprains and strains of Iliofemoral (ligament) Sprains and strains of Ischiocapsular (ligament) Sprains and strains of other specified sites of hip and thigh Sprains and strains of unspecified site of hip and thigh Sprains and strains of lateral collateral ligament Sprains and strains of medial collateral ligament Sprains and strains of cruciate ligament of knee Sprains and strains of tibiofibular (joint) (ligament) Sprains and strains of other specified sites of knee and leg Sprains and strains of unspecified site of knee and leg Sprains and strains of ankle, unspecified site Sprains and strains of deltoid (ligament), ankle Sprains and strains of calcaneofibular (ligament) Sprains and strains of tibiofibular (ligament), distal Sprains and strains of ankle, other Sprains and strains of foot, unspecified Sprains and strains of tarsometatarsal (joint) (ligament) Sprains and strains of metatarsophalangeal (joint) Sprains and strains of interphalangeal (joint), toe Sprains and strains of foot, other

6 Upper Extremity Diagnoses Carpal tunnel syndrome Other lesion of median nerve Lesion of ulnar nerve Lesion of radial nerve Osteoarthrosis, generalized, hand Osteoarthrosis, localized, primary, shoulder Osteoarthrosis, localized, primary, upper arm Osteoarthrosis, localized, primary, forearm Osteoarthrosis, localized, primary, hand Osteoarthrosis, localized, secondary, shoulder region Osteoarthrosis, localized, secondary, upper arm Osteoarthrosis, localized, secondary, forearm Osteoarthrosis, localized, secondary, hand shoulder upper arm forearm hand Osteoarthrosis, unspecified whether generalized or localized shoulder Osteoarthrosis, unspecified whether generalized or localized upper arm Osteoarthrosis, unspecified whether generalized or localized forearm Osteoarthrosis, unspecified whether generalized or localized hand Unspecified monoarthritis, shoulder region Unspecified monoarthritis, upper arm region Unspecified monoarthritis, forearm region Unspecified monoarthritis, hand Other specified arthropathy, shoulder region Other specified arthropathy, upper arm region Other specified arthropathy, forearm region Other specified arthropathy, hand Arthropathy, unspecified, shoulder region Arthropathy, unspecified, upper arm Arthropathy, unspecified, forearm Arthropathy, unspecified, hand Loose body in joint, shoulder region Loose body in joint, upper arm Loose body in joint, forearm Loose body in joint, hand Pain in joint, shoulder region Pain in joint, upper arm Pain in joint, forearm Pain in joint hand Other symptoms referable to joint, shoulder region Other symptoms referable to joint, upper arm

7 Upper Extremity Diagnoses (Continued ) Other symptoms referable to joint, forearm Other symptoms referable to joint, hand Adhesive capsulitis of shoulder Disorders of bursae and tendons in shoulder region Calcifying tendinitis of shoulder Bicipital tenosynovitis Rotator cuff syndrome of shoulder and allied disorder Enthesopathy of elbow, unspecified Medial epicondylitis Lateral epicondylitis Olecranon bursitis Enthesopathy of elbow region, other Enthesopathy of wrist and carpus Radial styloid tenosynovitis Other tenosynovitis of hand and wrist Nonallopathic lesions, upper extremity Sprains and strains of, acromioclavicular (joint) Sprains and strains of coracoclavicular (ligament) Sprains and strains of coracohumeral (ligament) Sprains and strains of infraspinatus (muscle) (tendon) Sprains and strains of rotator cuff (capsule) Sprains and strains of subscapularis (muscle) Sprains and strains of supraspinatus (muscle) (tendon) Sprains and strains of superior glenoid labrum lesion Sprains and strains of other specified sites of shoulder and upper arm Sprains and strains of unspecified site of shoulder and upper arm Sprains and strains of radial collateral ligament Sprains and strains of ulnar collateral ligament Sprains and strains of radiohumeral (joint) Sprains and strains of ulnohumeral (joint) Sprains and strains of other specified sites of elbow Sprains and strains of unspecified site of elbow and forearm Sprains and strains of wrist, unspecified site Sprains and strains of carpal (joint) Sprains and strains of radiocarpal (joint) (ligament) Sprains and strains of wrist, other Sprains and strains of hand unspecified Sprains and strains of carpometacarpal (joint) Sprains and strains of metacarpophalangeal (joint) Sprains and strains of interphalangeal (joint) Sprains and strains of hand, other

8 Non specific Diagnoses Loose body in joint, other specified sites Ankylosing spondylitis Synovitis and tenosynovitis, unspecified Synovitis and tenosynovitis, other Ganglion of tendon sheath Displacement of intervertebral disc, site unspecified Degeneration of intervertebral disc, site unspecified Spinal stenosis, unspecified region Scoliosis [and kyphoscoliosis], idiopathic Dislocation of verterbra, other, closed Spasm of muscle Myalgia and myositis, unspecified Late effect of sprain and strain without mention of tendon injury