Crosswalk of Common Spine ICD-9-CM Codes to ICD-10 Codes As of October 1, 2015, all health care entities covered by the Health Insurance Portability and Accountability Act (HIPAA) will be required to use ICD-10 codes in place of the existing ICD-9-CM code set for medical diagnoses. ICD-10 is a more detailed system that will allow for collection of more specific data about patient diagnoses. ICD-10 codes are 3-7 digits compared with the 3-5 digits in ICD-9-CM. Following is a crosswalk of ICD-9-CM codes commonly used in spine care to the new ICD-10 codes. These recommendations reflect the opinions of the NASS Coding Committee and do not constitute an official position or statement by NASS. Watch the NASS website for additional information as the transition deadline approaches. Additionally, the Centers for Medicare and Medicaid Services (CMS) has numerous resources designed to assist in implementing ICD-10: http://www.cms.gov/medicare/coding/icd10/index.html?redirect=/icd10 ICD-9-CM Descriptor ICD-9-CM Code ICD-10 Descriptor ICD-10 Code Cervical Pain, Neck 723.1 Cervicalgia M54.2 Disc degeneration 722.4 Other cervical disc degeneration, cervical region M50.30 Disc herniation 722.0 Other cervical disc displacement, cervical region M50.20 Disc herniation w/myelopathy 722.71 Cervical disc disorder with myelopathy, cervical region M50.00 Disc space infection 722.91 Other cervical disc disorders, cervical region M50.80 Cervical disc disorder,, cervical region Dislocation, vertebral 839.0 Dislocation of cervical vertebrae, initial Fracture 805.00 Fracture of neck,, initial Fracture compression 733.13 Collapsed vertebra, not elsewhere spontaneous classified, site, initial for Age-related osteoporosis with current pathological, vertebra(e), initial for Pathological, other site, initial for Pathological in other disease, other site, initial for Fracture w/paralysis upper 806.00 Unspecified displaced of first cervical vertebra, initial for closed Unspecified nondisplaced of M50.90 S13.101A S12.9XXA M48.50XA M80.08XA M84.48XA M84.68XA S12.000A S12.001A
Fracture w/paralysis lower first cervical vertebra, initial for closed Unspecified displaced of second cervical vertebra, initial for closed Unspecified nondisplaced of second cervical vertebra, initial for closed Unspecified displaced of third cervical vertebra, initial for closed Unspecified nondisplaced of third cervical vertebra, initial for closed Unspecified displaced of fourth cervical vertebra, initial for closed Unspecified nondisplaced of fourth cervical vertebra, initial for closed Unspecified injury at C1 level of Unspecified injury at C2 level of Unspecified injury at C3 level of Unspecified injury at C4 level of 806.05 Unspecified displaced of fifth cervical vertebra, initial for closed Unspecified nondisplaced of fifth cervical vertebra, initial for closed Unspecified displaced of sixth cervical vertebra, initial for closed Unspecified nondisplaced of sixth cervical vertebra, initial for closed Unspecified displaced of seventh cervical vertebra, initial for closed Unspecified nondisplaced of seventh cervical vertebra, initial for closed Unspecified injury at C5 level of Unspecified injury at C6 level of Unspecified injury at C7 level of S12.100A S12.101A S12.200A S12.201A S12.300A S12.301A S14.101A S14.102A S14.103A S14.104A S12.400A S12.401A S12.500A S12.501A S12.600A S12.601A S14.105A S14.106A S14.107A
Infection, vertebral 730.28 Osteomyelitis of vertebra, site M46.20 Instability 718.88 Other specific joint derangements of joint, not elsewhere classified M24.80 Post laminectomy syndrome 722.81 Postlaminectomy syndrome, not elsewhere classified M96.1 Radiculitis 723.4 Radiculopathy, cervical region M54.12 Radiculopathy, cervicothoracic region M54.13 Spinal stenosis 723.00 Spinal stenosis, cervical region M48.02 Spondylosis 721.00 Spondylosis without myelopathy or radiculopathy, cervical region M47.812 Spondylosis w/myelopathy 721.1 Other spondylosis with myelopathy, cervical region M47.12 Sprain/whiplash 847.00 Sprain of ligaments of cervical spine, initial S13.4XXA Sprain of joints and ligaments of other parts of neck, initial S13.8XXA Thoracic Pain, Radicular 724.4 Radiculopathy, thoracic region M54.14 Radiculopathy, thoracolumbar region M54.15 Radiculopathy, lumbar region M54.16 Radiculopathy, lumbosacral region M54.17 Pain Thoracic Spine 724.1 Pain in thoracic spine M54.6 Costochondritis 733.6 Chondrocostal junction syndrome [Tietze] M94.0 Disc degeneration 722.51 degeneration, thoracic region M51.34 degeneration, thoracolumbar region M51.35 Disc herniation 722.11 displacement, thoracic region M51.24 displacement, thoracolumbar region M51.25 Disc herniation w/myelopathy 722.72 Intervertebral disc disorders with myelopathy, thoracic region M51.04 Intervertebral disc disorders with myelopathy, thoracolumbar region M51.05 M46.45 region disorders, M51.84 thoracic region disorders, M51.85 thoracolumbar region Disc space infection 722.92 Discitis,, thoracolumbar DISH 721.8 Spondylopathy, M48.9 Dislocation, vertebral 839.21 Dislocation of thoracic S23.101A vertebra, initial Fracture 805.2 Unspecified of thoracic vertebra, initial for closed S22.009A
Fracture, compression, 733.13 Collapsed vertebra, not elsewhere M48.50XA spontaneous classified, site, initial for Age-related osteoporosis with current M80.08XA pathological, vertebra(e), initial for Pathological, other site, M84.48XA initial for Pathological in other disease, M84.68XA other site, initial for Fracture w/paralysis upper 806.20 Unspecified of first thoracic S22.019A Unspecified of second S22.029A thoracic vertebra, initial for closed Unspecified of third thoracic S22.039A Unspecified of fourth S22.049A thoracic vertebra, initial for closed Unspecified of T5-T6 S22.059A Unspecified injury at T1 level of S24.101A thoracic Unspecified injury at T2-T6 level of S24.102A thoracic Fracture w/paralysis lower 806.25 Unspecified of T7-T8 S22.069A Unspecified of T9-T10 S22.079A Unspecified of T11-T12 S22.089A Unspecified injury at T7-T10 level of S24.103A thoracic Unspecified injury at T11-T12 level of S24.104A thoracic Kyphosis 737.10 Postural kyphosis, site M40.00 Unspecified kyphosis, site M40.209 Kyphosis, Schuerman s 732.0 Juvenile osteochondrosis of spine, M42.00 site Kyphosis, senile 737.19 Other kyphosis, site M40.299 Infection, disc space 722.92 Discitis,, thoracolumbar M46.45 region disorders, thoracic region M51.84
disorders, M51.85 thoracolumbar region Infection, vertebral 730.28 Osteomyelitis of vertebra, site M46.20 Inflammatory/Ankylosing 720.00 Ankylosing spondylitis of M45.9 spondylosis sites in spine Post laminectomy syndrome 722.83 Postlaminectomy syndrome, not M96.1 elsewhere classified Scoliosis w/o neurogenic 737.30 Other idiopathic scoliosis, site M41.20 cause Scoliosis w/neurogenic cause 737.43 Neuromuscular scoliosis, site M41.40 Other secondary scoliosis, site M41.50 Spinal stenosis 724.01 Spinal stenosis, thoracic region M48.04 Spondylosis 721.2 Spondylosis without myelopathy or M47.814 radiculopathy, thoracic region Spondylosis w/myelopathy 721.41 Other spondylosis with myelopathy, M47.14 thoracic region Sprain 847.1 Sprain of ligaments of thoracic spine, S23.3XXA initial Sprain of other parts of S23.8XXA thorax, initial Strain, non traumatic musculoskeletal 847.3 Sprain of other parts of lumbar spine and pelvis, initial S33.8XXA Miscellaneous Contusion 922.31 Contusion of lower back and pelvis, initial S30.0XXA Lumbar Pain lower back 724.2 Low back pain M54.5 Coccyxgodynia 724.79 Sacrococcygeal disorders, not M53.3 elsewhere classified Disc degeneration 722.52 M51.36 degeneration, lumbar region M51.37 degeneration, lumbosacral region Disc herniation 722.1 M51.26 displacement, lumbar region M51.27 displacement, lumbosacral region Disc herniation 722.73 Intervertebral disc disorders with M51.06 w/myelopathy myelopathy, lumbar region Intervertebral disc disorders with M51.07 myelopathy, lumbosacral region Disc space infection 722.93 Discitis,, lumbosacral M46.47 region disorders, M51.86 lumbar region disorders, M51.87
lumbosacral region Fracture 805.4 Unspecified of lumbar vertebra, initial for closed Fracture-coccyx 805.6 Unspecified of sacrum, initial for closed Fracture of coccyx, initial for closed Fracture w/paralysis 806.4 Unspecified of lumbar vertebra, initial for closed Unspecified of first lumbar Unspecified of second lumbar vertebra, initial for closed Unspecified of third lumbar Unspecified of fourth lumbar Unspecified of fifth lumbar Unspecified injury to L1 level of Unspecified injury to L2 level of Unspecified injury to L3 level of Unspecified injury to L4 level of Unspecified injury to L5 level of Unspecified injury to level of lumbar spinal cord, initial Complete lesion of L1 level of lumbar Complete lesion of L2 level of lumbar Complete lesion of L3 level of lumbar Complete lesion of L4 level of lumbar Complete lesion of L5 level of lumbar Complete lesion of level of lumbar spinal cord, initial S32.009A S32.10XA S32.2XXA S32.009A S32.019A S32.029A S32.039A S32.049A S32.059A S34.101A S34.102A S34.103A S34.104A S34.105A S34.109A S34.111A S34.112A S34.113A S34.114A S34.115A S34.119A
Incomplete lesion of L1 level of S34.121A Incomplete lesion of L2 level of S34.122A Incomplete lesion of L3 level of S34.123A Incomplete lesion of L4 level of S34.124A Incomplete lesion of L5 level of S34.125A Incomplete lesion of level S34.129A of lumbar spinal cord, initial Fracture, compression, 733.13 Collapsed vertebra, not elsewhere M48.50XA spontaneous classified, site, initial for Age-related osteoporosis with current M80.08XA pathological, vertebra(e), initial for Pathological, other site, M84.48XA initial for Pathological in other disease, M84.68XA other site, initial for Infection, vertebral 730.28 Osteomyelitis of vertebra, site M46.20 Post laminectomy syndrome 722.83 Postlaminectomy syndrome, not M96.1 elsewhere classified Radiculitis 724.4 Radiculopathy, thoracic region M54.14 Radiculopathy, thoracolumbar region M54.15 Radiculopathy, lumbar region M54.16 Radiculopathy, lumbosacral region M54.17 Sciatica 724.3 Sciatica, site M54.30 Spinal stenosis 724.02 Spinal stenosis, lumbar region M48.06 Spondylolisthesis 738.4 Spondylosis, site M43.00 Spondylolisthesis, site M43.10 Spondylolisthesis congenital 756.12 Congenital spondylolisthesis Q76.2 Spondylosis 721.3 Spondylosis without myelopathy or M47.817 radiculopathy, lumbosacral region Spondylosis w/myelopathy 721.42 Other spondylosis with myelopathy, M47.16 lumbar region Sprain 847.2 Sprain of ligaments of lumbar spine, initial S33.5XXA