Chiropractic Frequently Used Primary Diagnosis Codes

Physical Health

This document contains frequently used clinical primary ICD codes as reported by OptumHealth Care Solutions, Inc. (OptumHealth) network providers. While this is not an all-inclusive list, these codes may be used to categorize the patient’s condition when submitting a Patient Summary Form. When indicating a diagnosis or diagnoses, please be as specific as possible.

Cervical Region Sprain/strain of neck 847.0 Torticollis – Wry Neck 723.5 Headache 784.0 Congenital torticollis 754.1 Common migraine w/o mention of intractable Classic migraine w/o mention intractable migraine 346.00 migraine 346.10 Classic migraine w/ intractable migraine stated 346.01 Common migraine w/ intractable migraine 346.11 Migraine unspecified w/o mention of intractable Migraine unspecified w/ mention of intractable migraine 346.90 migraine 346.91 Cervical segmental dysfunction 739.1 Displacement of Cervical Disc w/o myelopathy 722.0 Other cervical spine disorders, Brachial neuritis or Cervical dislocation C1, closed 839.01 radiculitis NOS 723.4 Cervical dislocation C2, closed 839.02 Cervical dislocation C6, closed 839.06 Cervical dislocation C3, closed 839.03 Cervical dislocation C7, closed 839.07 Cervical dislocation C4, closed 839.04 Cervical dislocation multiple levels, closed 839.08 Cervical dislocation C5, closed 839.05 Cervicalgia 723.1 Thoracic Region Thoracic sprain/strain 847.1 Sprain/strain of ribs 848.3 Pain in Thoracic spine 724.1 Thoracic segmental dysfunction 739.2 Brachial plexus lesions (TOS) 353.0 Scoliosis and kyphoscoliosis, idiopathic 737.30 Thoracic intervertebral disc without myelopathy 722.11 Dislocation thoracic vertebra, closed 839.21 Lumbar Region Thoracic or lumbosacral neuritis or radiculitis, Sprains & strains of lumbosacral ligament/joint 846.0 unspecified 724.4 Sprains & strains of lumbar region 847.2 Sprains & strains of sacroiliac ligament or joint 846.1 Intervertebral disc disorders-DDD 722.52 Sacroiliitis 720.2 Displacement of intervertebral disc w/o myelopathy 722.10 Lumbar segmental dysfunction 739.3 Sciatica 724.3 Disorders of Sacrum 724.6 Other symptoms referable to back (local condition, facet syndrome) 724.8 Lumbago, low back pain 724.2 Dislocation lumbar, closed 839.20 Dislocation coccyx, closed 839.41 Dislocation sacrum, closed 839.42

OptumHealth Care Solutions – Physical Health includes OptumHealth Care Solutions, Inc, ACN Group IPA of New York, Inc., Managed Physical Network, Inc., and ACN Group of California, Inc. REVISED: 09/28/10 ©2010 OptumHealth Care Solutions – Physical Health. UM Dept. 1

Upper Extremity Disorder of bursae and tendons in shoulder region Adhesive Capsulitis 726.0 (Rotator cuff sprain/strain) 726.10 Other affections of the shoulder region Crush injury of upper limb wrist and hand except (impingement) 726.2 fingers alone 927.3

Sprain of rotator cuff 840.4 Carpal tunnel syndrome 354.0 Bicipital Tenosynovitis 726.12 Medial epicondylitis 726.31 Pain in joint-shoulder region (arthralgia) 719.41 Effusion of joint upper arm 719.02 Calcifying tendonitis of shoulder 726.11 Pain in Joint-upper arm 719.42 Pain in joint- forearm (arthralgia) 719.43 Lateral epicondylitis 726.32 Pain in joint- Hand (arthralgia) 719.44 Ulnar nerve lesion 354.2 Olecranon bursitis 726.33 Trigger finger acquired) 727.03 Radial styloid tenosynovitis (DeQuervain's) 727.04 Tenosynovitis hand & wrist NEC 727.05 Rupture of flexor tendons on wrist/hand 727.64 Rupture extensor tendons hand & wrist 727.63 Mallet finger 736.1 Contracture of palmar fascia (Dupuytrens) 728.6

Osteoarthritis and allied disorders (OA hand, CMC, MCP) 715.04 Contracture of joint (finger contracture) 718.40

Sprains & strains of shoulder, upper arm, AC joint 840.0 Fracture of humerus, upper end, closed, unspecified 812.00

Dislocation of shoulder unspecified, closed 831.00 Bursal cyst (Ganglion cyst) 727.49 Dislocation of elbow unspecified, closed 832.00 Sprain/strain of elbow and forearm 841.9 Fracture of distal end of radius 813.42 Colles' fracture 813.41 Fracture of carpal bone, unspecified 814.00 Fracture of metacarpal, unspecified, closed 815.00 Sprain of wrist, unspecified 842.00 Dislocation of finger, unspecified, closed 834.00 Lower Extremity Osteoarthritis localized pelvic region and thigh (Hip DJD/OA) 715.15 Strain/sprain of knee and leg, unspecified site 844.9

Osteoarthritis localized lower leg (Knee DJD/OA)) 715.16 Other tear of cartilage or meniscus of knee 836.2

Strains & sprains of knee and leg, Cruciate Enthesopathy of hip (Trochanteric bursitis) 726.5 Ligament (ACL/PCL sprain) 844.2 Chondromalacia of patella 717.7 Fracture of ankle unspecified, closed 824.8 Patellar tendonitis 726.64 Prepatellar Bursitis 726.65 Dislocation of hip, closed 835.00 General Osteoarthritis, unspecified 715.00 Sprain/strain of ankle, unspecified 845.00 Osteoarthritis localized, secondary 715.20 Pain in joint- ankle and foot (arthralgia) 719.47 Pain in joint- pelvic region and thigh (arthralgia) 719.45 Hallux Valgus-Aquired 735.0 Pain in joint- lower leg (arthralgia) 719.46 Hallux Valgus-Rigidus 735.2 Sprain/strain of foot, unspecified site 845.10 Sprain/strain of hip and thigh, unspecified sites 843.9

Calcaneal spur 726.73 Fracture of one or more tarsal bones (foot fracture) 825.20 Mononeuritis of lower limb, lesion of plantar nerve Tibialis tendonitis 726.72 (Morton's neuroma) 355.6

Juvenile osteochondrosis of lower extremity Achilles bursitis or tendonitis 726.71 (Osgood Schlatter) 732.4 Ankle enthesopathy (peroneal tendonitis) 726.79 Plantar fibromatosis (plantar fasciitis) 728.71