October 19, 2017 Show
Question: Answer: M48.061, Spinal stenosis, lumbar region without neurogenic claudication M48.062, Spinal stenosis, lumbar region with neurogenic claudication Prior to 10/1/17, we did not have a single diagnosis code for lumbar stenosis with neurogenic claudication like we had in ICD-9-CM. However, this changed on 10/1/17 and now there is a code for lumbar stenosis with neurogenic claudication. The reason you experience the denial is because you used a code with 5 characters – M48.06 – which is now invalid. The lumbar stenosis codes now require a 6th character to represent the presence (or not) of neurogenic claudication. *This response is based on the best information available as of 10/19/17. Chapter 13 - Diseases of the musculoskeletal system and connective tissue (M00-M99) » Spondylopathies (M45-M49) » Spinal stenosis, lumbar region without neurogenic claudication (M48.061) YOU AGREE THAT THE INFORMATION PROVIDED ON THIS WEBSITE IS PROVIDED “AS IS”, WITHOUT ANY WARRANTY OF ANY KIND, EXPRESSED OR IMPLIED, INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE, OR NON-INFRINGEMENT OF ANY THIRD-PARTY PATENT, COPYRIGHT, OR ANY OTHER THIRD-PARTY RIGHT. IN NO EVENT SHALL THE CREATORS OF THE WEBSITE OR WASHINGTON UNIVERSITY BE LIABLE FOR ANY DIRECT, INDIRECT, SPECIAL, OR CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE WEBSITE, THE USE OF THE WEBSITE, OR THIS AGREEMENT, WHETHER IN BREACH OF CONTRACT, TORT OR OTHERWISE, EVEN IF SUCH PARTY IS ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Neurogenic claudicationPublication Date: September 2018 ICD 10 AM Edition: Tenth edition Query Number: 3400 As there is no Index entry for neurogenic claudication can VICC please advise the correct code for neurogenic claudication secondary to central lumbar canal stenosis? We have queried several cases with a Neurosurgeon who has clarified that this term can be further described as nerve root compression. If unable to obtain clarification from the clinician and if VICC cannot provide a default code, is it correct to code this to G95.8 Other specified diseases of spinal cord following Index entry: Disease, diseased Response For documentation of neurogenic claudication secondary to central lumbar canal stenosis where the clinician has clarified that the neurogenic claudication is nerve root compression, VICC considers it appropriate to follow Index entry Compression/nerve/root or plexus/with spinal (vertebra) stenosis or Stenosis/spinal/with nerve root compression to assign M48.06 Spinal stenosis, lumbar region and G55.3 Nerve root and plexus compressions in other dorsopathies. As the term neurogenic means giving rise to or arising from the nervous system, in the absence of clinical clarification VICC considers the appropriate Index entry to follow for documentation of neurogenic claudication is Disease/nervous system to assign G98 Other disorders of nervous system, not elsewhere classified. You may wish to send a public submission to ACCD for improvements to the Index. Videos M48.062 Spinal stenosis, lumbar region with neurogenic claudicationM48.062 - Spinal stenosis, lumbar region with neurogenic claudicationauto-open Additional Code Information auto-open ICD-10 Official Documentation Guidelines auto-open ICD-10-CM Index Entries (Reverse Index Lookup) auto-open Code History auto-open Dictionary Definitions auto-open My Notes auto-open Articles & Newsletters auto-open Coding Tips auto-open Web-A-Code - Useful Web Links auto-open Medical Laboratory Tests auto-open ICD-10 MS-DRG Grouper Logic auto-open ICD-9 Cross-A-Code™ (GEMs & RMs) auto-open Provider Documentation Guide™ (PDG) auto-open Cross-A-Code™ (ICD-9/10, CPT, Modifiers, NCCI, NDC, ASA CROSSWALK®) auto-open WK Drug Dictionary auto-open Medicare Policies & Guidelines (NCDs, LCDs, Articles) auto-open QPP (Quality Payment Program) Measures Thank you for choosing Find-A-Code, please Sign In to remove ads. What is Spinal stenosis, lumbar region with neurogenic claudication?Neurogenic claudication is usually caused by spinal stenosis (narrowing of the spinal canal) in the lumbar spine (lower back). The narrowing of the spinal canal is generally caused by wear and tear and arthritic changes in the lower spine.
What is the difference between spinal stenosis and neurogenic claudication?There are two types of claudication: neurogenic and vascular. Neurogenic claudication occurs because of narrowing in the spinal canal (stenosis) causing pressure on the spinal nerves. Vascular claudication results from blood flow that cannot match increased demand of muscles in oxygen during walking.
What is the ICDICD-10 code M48. 06 for Spinal stenosis, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .
What is Spinal stenosis, lumbar region without neurogenic claudication?Lumbar spinal stenosis is a broad term referring to the symptoms which may result from the narrowing of the spinal canal in the lower back. This may be due to age, injury, or degeneration. Lumbar spinal stenosis occurs when the bony tunnels in the spine that transmit the spinal cord and nerve roots become narrowed.
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