Appendix A: ICD 10CM Encounter Form -- Orthopedic Spine Diagnoses

Any Met C79.51 Add alpha/number to end of code( _ ): Lateralization: Unspec=0, Right=1, Left=2 Location: Unspec=0, High=1, Mid=2, Low=3 Traumatic Fractures Reactive Vertebral Arthritis Level (5th/6th digit): Unspec=0, OAA reg=1, Cervical=2, CT reg=3, Thoracic=4, TL reg=5, Lumbar=6, LS region=7, Sacral/SC reg=8 C1 S12.030_ Postdysentary M02.18 Office visit type (7th digit): A-Initial visit, D-subseq visit w/normal healing, G-subseq visit w/delayed healing, S-sequela of fracture Dens displaced S12.120_

Postimmunization M02.28 Scoliosis Spondylopathy: from other Stenosis not classified elsewhere: Cervical=1, Dens non-disp S12.121_ Reiter's M02.38 Infintile M41.0_ Spondylopathy: other M49.8_ Thoracic=2, Lumbar=3, Sacral=4 (5th digit) C2 S12.190_ Other reactive M02.88 Juvenile M41.11_ Cerv=0 & T,L,LS=1 disc disorder (2nd digit) Stenosis of neural canal: C3 S12.290_ Chronic Gout, vertebrae Adolescent M41.12_ W/ myelopathy M5_.0_ Subluxation M99.2_ C4 S12.390_ Ideopathic M1A.08 Adult/Other M41.8_ W/ Radiculopathy M5_.1_ Osseous M99.3_ C5 S12.490_ Lead-induced M1A.18 Osteochondrosis W/ displacement M5_.2_ Connective tissue M99.4_ C6 S12.590_ Drug-induced M1A.28 Juvenile M42.0_ W/degeneration M5_.3_ Intervertebral disc M99.5_ C7 S12.690_ Renal induced M1A.38 Adult M42.1_ Other cervical M5_.8_ Stenosis of intervertebral foramina: CS Sprain S13.4XX_ Other secondary M1A.48 Dorsopathies Other Dorsopathies Subluxation or osseous M99.6_ Cervical root inj S14.2XX_ Gout, vertebrae Spondylolysis M43.0_ Cervicocranial syndrome M53.0 Connective tissue or disc M99.7_ T1 S22.018_ Ideopathic M10.08 Spondylolisthesis M43.1_ Cervicobrachial syndrome M53.1 Congenital malformations of spine T2 S22.028_ Lead-induced M10.18 Fusion M43.2_ Spinal instabilities (level) M53.2X_ Spina bifida occulta Q76.0 T3 S22.038_ Drug-induced M10.28 Recurrent dislocation M43.5X_ Dorsalgia Klippel-Feil syndrome Q76.1 T4 S22.048_ Renal induced M10.38 Other deforming dorsop M43.8X_ Panniculitis M54.0_ Spondylolisthesis Q76.2 T5-T6 S22.058_ Other secondary M10.48 Ankylosing Spondylitis (+RA) M45._ Radiculopathy M54.1_ Scoliosis Q76.3 T7-T8 S22.068_ Other crystal arthopathies of vertebrae Inflammatory Spondylopathies Cervicalgia M54.2 Kyphosis Q76.41_ T9-T10 S22.078_ Hydroxyapatite M11.08 Spinal enthesopathy M46.0_ Sciatica (Lateralization) M54.3_ Lordosis Q76.42_ T11-T12 S22.088_ Fam chondrocalcinosis M11.18 Sacriolitis M46.1_ Lumbago w/sciatica (Lat) M54.4_ L1 S32.018_ Other chondrocalcinosis M11.28 Osteomyelitis M46.2_ Low Back Pain M54.5 Complete (ASIA A) S14.11_ _ L2 S32.028_ Other M11.38 Intervertebral disc infect M46.3_ Pain in thoracic spine M54.6 Central Cord Synd S14.12_ _ L3 S32.038_ Kaschin-Beck disease M12.18 Discitis M46.4_ Occipital neuralgia M54.81 Other incomplete S14.15_ _ L4 S32.048_ Charcôt's M14.68 Other: Inf(5) or Inflam(8) M46._ _ Other neuralgia M54.89 Cauda Equina S34.3XX_ L5 S32.058 Disorder of verteb ligament M24.28 Spondylosis Osteoporosis w/ pathologic vertebral fx Thoracic comp S24.119_ LS sprain S33.5XX_ Osteophyte, vertebrae M25.78 w/ Myelopathy M47.1_ Age-related M80.08X_ L3 complete S34.113_ Lumbar nerv inj S34.21X_ Kyphosis w/ Radiculopathy M47.2_ Non-age related M80.88X_ Post Surgical hardware (h) complications Post Surgical Care Postrual M40.0_ w/o Mye or Rad M47.81_ Osteoporosis w/o pathologic vertebral fx H. mechanical fail T84.216_ Post op visit Z47 Secondary M40.1_ Other M47.89_ Age-related M81.0 Displacement of h. T84.226_ Adj intnal device Z45 Unspecfied M40.20_ Other Spondylopathies Post Surgical conditions Other h. Failure T84.296_ Other M40.29_ M48.0_ Failed Fusion M96.0 H. Failure T84.296_ Flatback Syndrome M40.3_ Traumatic spondylopathy M48.3_ Postlamin Synd M96.1 H. infection T84.63X_ Lordosis Fatigue fx of vertebrae M48.4_X_ Postop Kyphosis M96.3 Other Complications T84.9XX_ Postural M40.4_ Collapsed vertebrae M48.5_X_ Postop Lordosis M96.4 Unspecfied M40.5_ Other: specify level (X_) M48.8X_ Postop Scoliosis M96.5