ICD-10-CM Codes associated with lumbar spine fusion - HealthPartners

ICD-10-CM Codes associated with lumbar spine fusion

¨C Effective 10/1/2015

ICD-10-CM Codes

ICD-10-CM codes listed below are for informational purposes only, and do not guarantee member coverage or

provider reimbursement.The list may not be all-inclusive.

These diagnosis codes DO NOT require prior authorization:

A17.81

A18.01

B90.2

C41.2

C70.1

Tuberculoma of brain and spinal cord

Tuberculosis of spine

Sequelae of tuberculosis of bones and joints

Malignant neoplasm of vertebral column

Malignant neoplasm of spinal meninges

C79.31, C79.32

Secondary malignant neoplasm of brain and cerebral meninges

C79.40, C79.49

Secondary malignant neoplasm of other and unspecified parts of nervous

system

C79.51, C79.52

D33.4

D32.1

Secondary malignant neoplasm of bone and bone marrow

Benign neoplasm of spinal cord

Benign neoplasm of spinal meninges

D43.0-D43.2, D43.4

D42.0-D42.9

Neoplasm of uncertain behavior of brain and central nervous system

Neoplasm of uncertain behavior of meninges

D48.0

G83.4

G83.9

Neoplasm of uncertain behavior of bone and articular cartilage

Cauda equina syndrome

Paralytic syndrome, unspecified

M08.08, M45.0-M45.9,

M48.8X1-M48.8X9

Rheumatoid arthritis/ankylosing spondylitis

M24.80

M25.28

M53.2X1-M53.2X9

Other specific joint derangements of unspecified joint, not elsewhere

classified

Flail joint, other site

Spinal instabilities

M51.9

Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc

disorder

M51.06

M43.27, M43.28

ntervertebral disc disorders with myelopathy, lumbar region

Fusion of spine, lumbosacral & sacrococcygeal regions

M53.2X7, M53.2X8

M53.3

Spinal instabilities, lumbar, sacral & sacrococcygeal regions

Sacrococcygeal disorders, not elsewhere classified

M53.86-M53.88

Other specified dorsopathies, lumbar, lumbosacral, sacral & sacrococcygeal

regions

M48.50XA-M48.58XS,

M80.08XA-M80.08XS,

M80.88XA-M80.88XS,

M84.58XA-M84.58XS

Pathologic fracture of vertebrae

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M80.00XP, M80.08XP,

M80.80XP, M80.88XP,

M84.30XP, M84.40XP,

M84.48XP, M84.50XP,

M84.58XP, M84.60XP,

M84.68XP

Malunion of fracture

M80.00XK, M80.08XK,

M80.80XK, M80.88XK,

M84.30XK, M84.40XK,

M84.48XK, M84.50XK,

M84.58XK, M84.60XK,

M84.68XK

M40.00-M40.05

M41.00-M41.35, M96.5

Nonunion of fracture

Postural kyphosis

Kyphoscoliosis and scoliosis

S12.000A-S12.691B,

S12.9XXA-S12.9XXD,

S22.000A-S22.089B,

S32.000A-S32.059B,

S32.10XA-S32.19XB,

S32.2XXA-S32.2XXB

Fracture of vertebral column without mention of spinal cord injury

S32.009A, S32.019A,

S32.029A, S32.039A,

S32.049A, S32.059A,

S34.101A-S34.129S

Closed fracture of lumbar spine with spinal cord injury

S32.009B, S32.019B,

S32.029B, S32.039B,

S32.049B, S32.059B,

S34.101A-S34.129S

S31.000A, S33.101A

Open fracture of lumbar spine with spinal cord injury

Open dislocation, lumbar vertebra

These diagnosis codes DO require prior authorization:

M47.20, M47.819,

M47.899, M47.9

Spondylosis of unspecified site without mention of myelopathy

M51.26, M51.27

Other intervertebral disc displacement, lumbar & lumbosacral regions

M51.36, M51.37

M96.1

Other intervertebral disc degeneration, lumbar & lumbosacral regions

Postlaminectomy syndrome, not elsewhere classified

M48.06, M48.07, M99.23,

M99.33, M99.43, M99.53,

M99.63, M99.73

M54.5

M41.80-M41.9

Spinal stenosis of lumbar region

Low back pain (lumbago)

Other forms of scoliosis

M43.8X9

M40.10-M40.15

M40.50-M40.57

M41.40-M41.57

M43.00-M43.19

Q76.2

Other specified deforming dorsopathies, site unspecified

Other secondary kyphosis

Lordosis, unspecified

Neuromuscular scoliosis & Other secondary scoliosis

Spondylosis and spondylolisthesis

Congenital spondylolisthesis

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Q76.411-Q76.419,

Q76.49

Other congenital malformations of spine, not associated with scoliosis

M99.13, S33.0XXA,

S33.100A-S33.141S

Closed disloaction, lumar vertebra

These Diagnosis codes are not associated with the scope of this policy, & DO NOT require prior

authorization:

M47.21-M47.23,

M47.811-M47.813,

M47.891-M47.893

Cervical spondylosis without myelopathy

M47.011-M47.029,

M47.11-M47.13

Cervical spondylosis with myelopathy

M47.24, M47.25,

M47.814, M47.815,

M47.894, M47.895

M47.14, M47.15

M50.20-M50.23

Thoracic spondylosis without myelopathy

Thoracic spondylosis with myelopathy

Other cervical disc displacement

M51.24, M51.25

M50.30-M50.33

Other intervertebral disc displacement, thoracic & thoracolumbar regions

Other cervical disc degeneration

M51.34, M51.35

M50.00-M50.03

Other intervertebral disc degeneration, thoracic & thoracolumbar regions

Cervical disc disorder with myelopathy

M51.04, M51.05

Intervertebral disc disorders with myelopathy, thoracic & thoracolumbar

regions

M99.12, S23.100AS23.171S

Subluxation and dislocation of thoracic vertebra

S23.101A-S23.101S

Dislocation of unspecified thoracic vertebra, initial encounter

S14.0XXA-S14.108S,

S14.111A-S14.118S,

S14.121A-S14.128S,

S14.131A-S14.138S,

S14.141A-S14.148S,

S14.151A-S14.158S

Cervical spinal cord injury without evidence of spinal bone injury

S24.0XXA-S24.104S,

S24.111A-S24.114S,

S24.131A-S24.134S,

S24.141A-S24.144S,

S24.151A-S24.154S

Thoracic spinal cord injury without evidence of spinal bone injury

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