ICD-9-CM Description ICD-9-CM Diagnosis Code ICD-10-CM Diagnosis Code ICD-10- CM Description Indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain. Chronic Pain Disorders: Central pain syndrome 338.0 G89.0 Central Pain Syndrome Chronic pain due to trauma 338.21 G89.21 Chronic pain due to trauma Other chronic post-thoracotomy pain 338.22 G89.22 Chronic pain post-throractomy pain Other chronic postoperative pain 338.28 G89.28 Other chronic postprocedural pain Other chronic pain 338.29 G89.29 Other chronic pain Chronic pain syndrome 338.4 G89.4 Chronic pain syndrome Fitting and adjustment of neuropacemaker (brain) (peripheral nerve) (spinal cord). For routine device replacement and the secondary diagnosis is for the underlying pain condition Reflex Sympathetic Dystrophy & Causalgia: V53.02 Z45.42 Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord) Reflex sympathetic dystrophy, 337.20 G90.50 Complex al pain syndrome I, Reflex Sympathetic Dystrophy of the upper limb (complex al pain syndrome 337.21 G90.511 Complex al pain syndrome I of right upper limb Type 1) G90.512 Complex al pain syndrome I of left upper limb G90.513 Complex al pain syndrome I of upper limb, bilateral G90.519 Complex al pain syndrome I of upper limb Reflex Sympathetic Dystrophy of the lower limb (complex al pain syndrome Type 1) 337.22 G90.521 Complex al pain syndrome I of right lower limb G90.522 Complex al pain syndrome I of left lower limb G90.523 Complex al pain syndrome I of lower limb, bilateral G90.529 Complex al pain syndrome I of lower limb Reflex sympathetic dystrophy of other specified site (complex al pain 337.29 G90.59 Complex al pain syndrome I of other specified site syndrome Type 1) Causalgia of upper limb (complex al pain syndrome Type II) 354.4 G56.40 Causalgia of upper limb G56.41 Causalgia of right upper limb G56.42 Causalgia of left upper limb G56.43 Causalgia of bilateral upper limbs Mononeuritis multiplex 354.5 G58.7 Mononeuritis multiplex Other mononeuritis of upper limb 354.8 G56.80 Other specified mononeuropathies of upper limb Mononeuritis of upper limb, 354.9 Causalgia of lower limb (complex al pain syndrome Type II) 355.71 Other mononeuritis of lower limb 355.79 Mononeuritis of lower limb, 355.8 Mononeuritis of site 355.9 G56.81 Other specified mononeuropathies of right upper limb G56.82 Other specified mononeuropathies of left upper limb G56.83 Other specified mononeuropathies of bilateral upper limbs G56.90 Unspecified mononeuropathy of upper limb G56.91 Unspecified mononeuropathy of right upper limb G56.92 Unspecified mononeuropathy of left upper limb G56.93 Unspecified mononeuropathy of bilateral upper limbs G57.70 Causalgia of lower limb G57.71 Caulsalgia of right lower limb G57.72 Caulsalgia of left lower limb G57.73 Causalgia of bilateral lower limbs G57.80 Other specified mononeuropathies of lower limb G57.81 Other specified mononeuropathies of right lower limb G57.82 Other specified mononeuropathies of left lower limb G57.83 Other specified mononeuropathies of bilateral lower limbs G57.90 Unspecified mononeuropathy of lower limb G57.91 Unspecified mononeuropathy of right lower limb G57.92 Unspecified mononeuropathy of left lower limb G57.93 Unspecified mononeuropathy of bilateral lower limbs G58.8 Other specified mononeuropathies G58.9 Mononeuropathy, G59 Mononeuropathy in diseases classified elsewhere
Underlying Causes of Chronic Pain: Herpes zoster with nervous system complication 053.10 B02.29 Other postherpetic nervous system involvement Postherpetic trigeminal neuralgia 053.12 B02.22 Postherpetic trigeminal neuralagia Postherpetic polyneuropathy 053.13 B02.23 Postherpetic polyneuropathy Herpes zoster with other nervous system complication 053.19 B02.29 Other postherpetic nervous system involvement Nonpyogenic meningitis 322.0 G03.0 Nonpyogenic meningitis Eosinophilic meningitis 322.1 G03.8 Meningitis due to other specified causes Chronic meningitis 322.2 G03.1 Chronic meningitis Meningitis, 322.9 G03.9 Meningitis, Disorders of meninges, not elsewhere classified 349.2 G96.12 Meningeal adhesions (cerebral) (spinal) G96.19 Other disorders of meninges, not elsewhere classified Unspecified disorders of nervous system 349.9 G96.9 Disorder of central nervous system, Lumbosacral plexus lesions 353.1 G54.1 Lumbosacral plexus disorders Cervical root lesions, not elsewhere classified 353.2 G54.2 Cervical root disorders, not elsewhere classified Thoracic root lesions, not elsewhere classified 353.3 G54.3 Thoracic root disorders,not elsewhere classified Lumbosacral root lesions, not elsewhere classified 353.4 G54.4 Lumbosacral root disorders, not elsewhere classified Neuraligic amyotrohpy 353.5 G54.5 Neuralagic amytrophy Phantom limb (syndrome) 353.6 G54.6 Phantom limb syndrome with pain G54.7 Phantom limb syndrome without pain Other nerve root and plexus disorders [intercostal neuralgia] 353.8 G54.8 Other nerve root and plexus disorders Unspecified nerve root and plexus disorder 353.9 G54.9 Nerve root and plexus disorder, Hereditary peripheral neuropathy 356.0 G60.0 Hereditary motor and sensory neuropathy Hereditary peripheral neuropathy, 356.9 G60.9 Heredity and idiopathetic neuropathy, Ankylosing spondylitis 720.0 M45.0 Ankylosing spondylitis of multiple sites in spine M45.1 Ankylosing spondylitis of occipito-atlanto-axial M45.2 Ankylosing spondylitis cervical M45.3 Ankylosing spondylitis cervicothoracic M45.4 Ankylosing spondylitis thoracic M45.5 Ankylosing spondylitis thoracolumbar M45.6 Ankylosing spondylitis lumbar M45.7 Ankylosing spondylitis lumbosacral M45.8 Ankylosing spondylitis sacral and sacrococcygeal M45.9 Ankylosing spondylitis of sites in spine M08.1 Juvenile ankylosing spondylitis Spinal enthesopathy 720.1 M46.00 Spinal enthesopathy, site M46.01 Spinal enthesopathy, occipito-atlanto-axial M46.02 Spinal enthesopathy, cervical M46.03 Spinal enthesopathy, cervicothoracic M46.04 Spinal enthesopathy, thoracic M46.05 Spinal enthesopathy, thoracolumbar M46.06 Spinal enthesopathy, lumbar M46.07 Spinal enthesopathy, lumbosacral regio M46.08 Spinal enthesopathy, sacral and sacrococcygeal M46.09 Spinal enthesopathy, multiple sites in spine Cervical spondylosis without myelopathy 721.0 M47.812 Spondylosis without myelopathy or radiculopathy, cervical M47.813 Spondylosis without myelopathy or radiculopathy, cervicothoracic Cervical spondylosis with myelopathy 721.1 M47.011 Anterior spinal artery compression syndromes, occipitoatlanto-axial M47.012 Anterior spinal artery compression syndromes, cervical M47.013 Anterior spinal artery compression syndromes, cerviocothoracic M47.014 Anterior spinal artery compression syndromes, thoracic,
M47.015 Anterior spinal artery compression syndromes, thoracolumbar M47.016 Anterior spinal artery compression syndromes, lumbar M47.019 Anterior spinal artery compression syndromes, site M47.021 Vertrbral artery compression syndromes, occipito-atlantoaxial M47.022 Vertrbral artery compression syndromes, cervical M47.029 Vertrbral artery compression syndromes, site M47.11 Other spondylosis with myelopathy, occipito-atlanto-axial M47.12 Other spondylosis with myelopathy, cervical M47.13 Other spondylosis with myelopathy,cerviocothoracic Thoracic spondylosis without myelopathy 721.2 M47.814 Spondylosis without myelopathy or radiculopathy, thoracic M47.815 Spondylosis without myleopathy or radiculopathy, thoracolumbar Lumbosacral spondylosis without myleopathy 721.3 M47.817 Spondylosis without myelopathy or radiculopathy, lumbosacral Thoracic spondylosis with myelopathy 721.41 M47.14 Other spondylosis with myelopathy, thoracic M47.15 Other spondylosis with myelopathy, thoracolumbar Lumbar spondylosis with myelopathy 721.42 M47.16 Other spondylosis with myelopathy, lumbar Ankylosing vertebral hyperostosis 721.6 M48.10 Ankylosing hyperostosis (Forestier), site M48.11 Ankylosing hyperostosis (Forestier), occipito-atlanto-axial M48.12 Ankylosing hyperostosis (Forestier), cervical M48.13 Ankylosing hyperostosis (Forestier), cerviocothoracic M48.14 Ankylosing hyperostosis (Forestier), thoracic M48.15 Ankylosing hyperostosis (Forestier), thoracolumbar M48.16 Ankylosing hyperostosis (Forestier), lumbar M48.17 Ankylosing hyperostosis (Forestier), lumbosacral M48.18 Ankylosing hyperostosis (Forestier), sacral and sacrococcygeal M48.19 Ankylosing hyperostosis (Forestier), multiple sites in spine Other allied disorders of spine 721.8 M48.9 Spondylopathy, Spondylosis of site, without mention of myelopathy 721.90 M47.819 Spondylosis without myelopathy or radiculopathy, site Spondylosis of site, with mention of myelopathy 721.91 M47.10 Other spondylosis with myelopathy, site Displacement of cervical intervertebral disc without myelopathy 722.0 M50.20 Other cervical disc displacement, cervical Displacement of lumbar intervertebral disc without myelopathy 722.10 Displacement of thoracic intervertebral disc without myelopathy 722.11 M50.21 Other cervical disc displacement, high cervical M50.220 Other cervical disc displacement, mid-cervical, level M50.221 Other cervical disc displacement at C4-C5 level M50.222 Other cervical disc displacement at C5-C6 level M50.223 Other cervical disc displacement at C6-C7 level M50.23 Other cervical disc displacement, cerviothoracic M51.26 Other intervertebral disc displacement, lumbar M51.27 Other intervertebral disc displacement, lumbosacral M51.24 Other intervertebral disc displacement, thoracic M51.25 Other intervertebral disc displacement, thoracolumbar
Displacement of intervertebral disc, site, without myelopathy 722.2 M51.9 Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder Degeneration of cervical intervertebral disc 722.4 M50.30 Other cervical disc degeneration, cervical Degeneration of thoracic or luthoracolumbar intervetebral disc 722.51 Degeneration of lumbar or lumbosacral intervetebral disc 722.52 Degeneration of intervertebral disc, site 722.6 M50.31 Other cervical disc degeneration, high cervical M50.320 Other cervical disc degeneration, mid-cervical, level M50.321 Other cervical disc degeneration at C4-C5 level M50.322 Other cervical disc degeneration at C5-C6 level M50.323 Other cervical disc degeneration at C6-C7 level M50.33 Other cervical disc degeneration, cervicothoracic M51.34 Other intervertebral disc degeneration, thoracic M51.35 Other intervertebral disc degeneration, thoracolumbar M51.36 Other intervertebral disc degeneration, lumbar M51.37 Other intervertebral disc degeneration, lumbosacral M51.34 Other intervertebral disc degeneration, thoracic M51.35 Other intevertebral disc degeneration, thoracolumbar M51.36 Other intervertebral disc degeneration lumbar M51.37 Other intervertebral disc degeneration, lumbosacral Intervertebral disc disorder with myelopathy; 722.70 M51.9 Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder Intervertebral disc disorder with myelopathy; cervical 722.71 M50.00 Cervical disc disorder with myelopathy, cervical M50.01 Cervical disc disorder with myelopathy, high cervical M50.020 Cervical disc disorder with myelopathy, mid-cervical, level M50.021 Cervical disc disorder at C4-C5 level with myelopathy M50.022 Cervical disc disorder at C5-C6 level with myelopathy M50.023 Cervical disc disorder at C6-C7 level with myelopathy M50.03 Cervical disc disorder with myelopathy, cervicothoracic Intervertebral disc disorder with myelopathy; thoracic 722.72 M51.04 Intervertebral disc disorders with myelopathy, thoracic M51.05 Intervertebral disc disorders with myelopathy, thoracolumbar Intervertebral disc disorder with myelopathy; lumbar 722.73 M51.06 Intervertebral disc disorders with myelopathy, lumbar Post laminectomy syndrome, 722.80 M96.1 Postlaminectomy syndrome, not elsewhere classified Postlaminectomy syndrome, cervical 722.81 M96.1 Postlaminectomy syndrome, not elsewhere classified Postlaminectomy syndrome, thoracic 722.82 M96.1 Postlaminectomy syndrome, not elsewhere classified Postlaminectomy syndrome, lumbar (failed back syndrome) 722.83 M96.1 Postlaminectomy syndrome, not elsewhere classified Other and disc disorder, 722.90 M46.40 Discitis,, site M51.9 Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder Other and disc disorder, cervical 722.91 M50.80 Other cervical disc disorders, cervical M50.90 Cervical disorder,, cervical Other and disc disorder, thoracic 722.92 M51.84 Other intervertebral disc disorder, thoracic M46.45 Discitis,, thoracolumbar M51.85 Other intervertebral disc disorder, thoracolumbar Other and disc disorder, lumbar 722.93 M46.47 Discitis,, lumbosacral M51.86 Other intervertebral disc disorders, lumbar M51.87 Other intervertebral disc disorders, lumbosacral Spinal stenosis of cervical 723.0 M48.01 Spinal stenosis, occipito-atlanto-axial M48.02 Spinal stenosis, cervical
M48.03 Spinal stenosis, cervicothoracic Cervicalgia 723.1 M54.2 Cervicalgia Cervicocranial syndrome 723.2 M53.0 Cerviocranial syndrome Cervicobrachnial syndrome (diffuse) 723.3 M53.1 Cerviocbrachial syndrome Brachia neuritis or radiculitis NOS 723.4 M54.12 Radiculopathy, cervical M54.13 Radiculopathy, cerviocothoracic Other syndromes affecting cervical 723.8 M53.82 Other specified dorsopathies, cervical Unspecified musculoskeletal disorders and symptoms referable to neck 723.9 M53.82 Other specified dorsopathies, cervical Spinal stenosis, 724.00 M48.00 Spinal stenosis, site Spinal stenosis, thoracic 724.01 M48.04 Spinal stenosis, thoracic Spinal stenosis, lumbar without neurogenic claudication 724.02 M48.06 Spinal stenosis, lumbar Spinal stenosis, lumbar with neurogenic claudication 724.03 M48.06 Spinal stenosis, lumbar Spinal stenosis, other 724.09 M48.08 Spinal stenosis, sacral and sacrococcygeal Pain in thoracic spine 724.1 M54.6 Pain in thoracic Lumbago: Low back pain, Low back syndrome, Lumbalgia 724.2 M54.5 Low back pain Sciatica: Neuralgia or neuritis of sciatic nerve 724.3 M54.30 Sciatica, side M54.31 Sciatica, right side M54.32 Sciatica, left side Thoracic or lumbosacral neuritis or radiculitis, 724.4 M54.14 Radiculopathy, thoracic M54.15 Radiculopathy thoracolumbar M54.16 Radiculopathy lumbar M54.17 Radiculopathy lumbosacral Backache, 724.5 M54.89 Other dorsalgia M54.9 Dorsalgi, Disorders of sacrum 724.6 M53.3 Sacrococcygeal disorders, not elsewhere classified M53.2X7 Spinal instabilities, lumbosacral M43.27 Fusion of spine, lumbosacral M43.28 Fusion of spine, sacral and sacrococcygeal Other symptoms referrable to back 724.8 M54.03 Panniculitis affecting s of neck and back, cervicothoracic M54.04 Panniculitis affecting s of neck and back, thoracic M54.05 Panniculitis affecting s of neck and back, thoracolumbar M54.06 Panniculitis affecting s of neck and back, lumbar Other back disorders 724.9 Neuralgia, neuritis, and radiculitis, 729.2 Pain in limb 729.5 M54.07 Panniculitis affecting s of neck and back lumbosacral M54.08 Panniculitis affecting s of neck and back sacral and sacrococcygeal M53.9 Dorsopathy, M43.8X9 Other specified deforming dorsopathies, site M79.2 Neuralgia and neuritis, M54.10 Radiculopathy, site M79.601 Pain in right arm M79.602 Pain in left arm M79.603 Pain in arm, M79.604 Pain in right leg M79.605 Pain in left leg M79.606 Pain in leg, M79.609 Pain in limb M79.621 Pain in right upper arm M79.622 Pain in left upper arm M79.629 Pain in upper arm M79.631 Pain in right forearm M79.632 Pain in left forearm M79.639 Pain in forearm
Diabetes Secondary diabetes mellitus with neurological manifestations not stable as uncontrolled and Mononeuritis of site Diabetes with neurological manifestations and Mononeuritis of site 250.6 0 and 355.9 M79.641 Pain in right hand M79.642 Pain in left hand M79.643 Pain in hand M79.644 Pain in right finger(s) M79.645 Pain in left finger(s) M79.646 Pain in finger(s) M79.651 Pain in right thigh M79.652 Pain in left thigh M79.659 Pain in thigh M79.661 Pain in right lower leg M79.662 Pain in left lower leg M79.669 Pain in lower leg M79.671 Pain in right foot M79.672 Pain in left foot M79.673 Pain in foot M79.674 Pain in right toe(s) M79.675 Pain in left toe(s) M79.676 Pain in toe(s) 249.60 and 355.9 E08.41 Diabetes mellitus due to underlying condition of diabetic mononeropthay E09.41 Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy E13.41 Other specified diabetes mellitus with diabetic mononeuropathy E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy E13.41 Other specified diabetes mellitus with diabetic mononeuropathy 250.61 and 355.9 E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy Diabetes with neurological manifestations type II or type, not stated as controlled and Mononeuritis of site and Mononeuritis of site Tuberculosis of Spine Vertebral column, 015.00 A18.01 Tuberculosis of spine Arthropathy associated with other bacterial diseases, other specified sites 711.48 M01.X8 Direct infection of vertebrae in infectious and parasitic diseases classified elsewhere Inflammatory spondylopathies in diseases classified elsewhere 720.81 M49.80 Spondylopathy in diseases classified elsewhere, site Other infections involving bone in disease classified elsewhere, other specified sites 730.88 M90.88 Osteopathy in diseases classified elsewhere, other site Curvature of spine, 737.40 M43.8X9 Other specified deforming dorsopathies, site Other myelopathy and disease of spinal cord Myelopathy in other diseases classified elsewhere 336.3 G99.2 Myelopathy in diseases classified elsewhere Other myelopathy 336.8 G95.81 Conus medullaris syndrome G95.89 Other specified diseases of spinal cord Unspecified disease of the spinal cord 336.9 G95.20 Unspecified cord compression G95.29 Other cord compression G95.9 Disease of spinal cord, Other inflammatory spondylopathies Other inflammatory spondylopathies 720.89 M46.50 Other infective spondylopathies, site M46.51 Other infective spondylopathies, occipito-atlanto-axial M46.52 Other infective spondylopathies, cervical M46.53 Other infective spondylopathies, cervicothoracic M46.54 Other infective spondylopathies, thoracic M46.55 Other infective spondylopathies, thoracolumbar M46.56 Other infective spondylopathies, lumbar
M46.57 Other infective spondylopathies, lumbosacral M46.58 Other infective spondylopathies, sacral and sacrococcygeal M46.59 Other infective spondylopathies, multiple sites in spine M46.80 Other specified inflammatory spondylopathies, site M46.81 Other specified inflammatory spondylopathies, occipitoatlanto-axial M46.82 Other specified inflammatory spondylopathies, cervical M46.83 Other specified inflammatory spondylopathies, cervicothoracic M46.84 Other specified inflammatory spondylopathies, thoracic M46.85 Other specified inflammatory spondylopathies, thoracolumbar M46.86 Other specified inflammatory spondylopathies, lumbar M46.87 Other specified inflammatory spondylopathies, lumbosacral M46.88 Other specified inflammatory spondylopathies, sacral and sacrococcygeal M46.89 Other specified inflammatory spondylopathies, multiple sites in spine Sacroiliitis, not elsewhere classified Sacroiliitis, not elsewhere classified 720.2 M46.1 Sacroiliitis, not elsewhere classified Torticollis Torticollis, 723.5 M43.6 Torticollis Thoracic or lumbar spondylosis with myelopathy Thoracic 721.41 M47.14 Other spondylosis with myelopathy, thoracic M47.15 Other spondylosis with myelopathy, thoracolumbar Neoplasm related pain Neoplasm related pain (acute) (chronic) 338.3 G89.3 Neoplasm related pain (acute) (chronic) Information provided by Nevro is presented for illustrative purposes only and does not constitute coding, reimbursement, or legal advice. It is always the provider s responsibility to determine the medical necessity and proper site of service for the procedure, and to submit appropriate codes, charges and modifiers for services rendered.