ICD-10: Clinical Concepts for Orthopedics

ICD-10

Clinical Concepts for Orthopedics

ICD-10 Clinical Concepts Series

Common Codes Clinical Documentation Tips Clinical Scenarios

ICD-10 Common Codes for Orthopedics is a feature of Road to 10, a CMS online tool built with physician input.

With Road to 10, you can:

l Build an ICD-10 action plan customized for your practice

l Use interactive case studies to see how your coding selections compare with your peers' coding

l Access quick references from CMS and medical and trade associations

l View in-depth webcasts for and by medical professionals

To get on the Road to 10 and find out more about ICD-10, visit:

ICD10

ICD-10 Compliance Date: October 1, 2015

Official CMS Industry Resources for the ICD-10 Transition ICD10

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Table Of Contents

Common Codes

? Cervical Spine Disorders and Displacement

? Neck and Back Pain ? Osteoarthritis of

the Hip ? Osteoarthritis of the Knee ? Radiculopathy (Primary) ? Rheumatoid Arthritis

Clinical Documentation Tips

? Fractures ? Arthritis ? Injuries

Clinical Scenarios

? Scenario 1: Fracture Follow-Up Visit

? Scenario 2: Shoulder ROM Office Visit

? Scenario 3: Tear of Medial Meniscus With Anterior Cruciate Ligament Injury

? Selected Shoulder Conditions

? Spinal Stenosis of the Lumbar Region

? Selected Sprains ? Rotator Cuff, Cruciate Ligament, and Ankle

? Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders

? Scenario: Cervical Disc Disease

? Scenario: Struck by Car ? Scenario: Fracture

Common Codes

ICD-10 Compliance Date: October 1, 2015

Cervical Spine Disorders and Displacement (ICD-9-CM 722.0, 722.4, 722.71, 722.91, 723.4)

M50.00* M50.01 M50.02 M50.03 M50.10* M50.11 M50.12 M50.13 M50.20* M50.21 M50.22 M50.23 M50.30* M50.31 M50.32 M50.33 M50.80* M50.81 M50.82 M50.83 M50.90* M50.91 M50.92 M50.93

Cervical disc disorder with myelopathy, unspecified cervical region Cervical disc disorder with myelopathy, occipito-atlanto-axial region Cervical disc disorder with myelopathy, mid-cervical region Cervical disc disorder with myelopathy, cervicothoracic region Cervical disc disorder with radiculopathy, unspecified cervical region Cervical disc disorder with radiculopathy, occipito-atlanto-axial region Cervical disc disorder with radiculopathy, mid-cervical region Cervical disc disorder with radiculopathy, cervicothoracic region Other cervical disc displacement, unspecified cervical region Other cervical disc displacement, occipito-atlanto-axial region Other cervical disc displacement, mid-cervical region Other cervical disc displacement, cervicothoracic region Other cervical disc degeneration, unspecified cervical region Other cervical disc degeneration, occipito-atlanto-axial region Other cervical disc degeneration, mid-cervical region Other cervical disc degeneration, cervicothoracic region Other cervical disc disorders, unspecified cervical region Other cervical disc disorders, occipito-atlanto-axial region Other cervical disc disorders, mid-cervical region Other cervical disc disorders, cervicothoracic region Cervical disc disorder, unspecified, unspecified cervical region Cervical disc disorder, unspecified, occipito-atlanto-axial region Cervical disc disorder, unspecified, mid-cervical region Cervical disc disorder, unspecified, cervicothoracic region

*Codes with a greater degree of specificity should be considered first.

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Neck and Back Pain (ICD-9-CM 723.1, 724.1, 724.2, 724.3, 724.5)

M54.2 M54.30* M54.31 M54.32 M54.40* M54.41 M54.42 M54.5 M54.6 M54.89 M54.9*

Cervicalgia Sciatica, unspecified side Sciatica, right side Sciatica, left side Lumbago with sciatica, unspecified side Lumbago with sciatica, right side Lumbago with sciatica, left side Low back pain Pain in thoracic spine Other dorsalgia Dorsalgia, unspecified

*Codes with a greater degree of specificity should be considered first.

Osteoarthritis of the Hip (ICD-9-CM 715.15, 715.25, 715.35, 715.95)

M16.0 M16.10* M16.11 M16.12 M16.2 M16.30* M16.31 M16.32 M16.4 M16.50* M16.51 M16.52 M16.6 M16.7 M16.9*

Bilateral primary osteoarthritis of hip Unilateral primary osteoarthritis, unspecified hip Unilateral primary osteoarthritis, right hip Unilateral primary osteoarthritis, left hip Bilateral osteoarthritis resulting from hip dysplasia Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip Unilateral osteoarthritis resulting from hip dysplasia, right hip Unilateral osteoarthritis resulting from hip dysplasia, left hip Bilateral post-traumatic osteoarthritis of hip Unilateral post-traumatic osteoarthritis, unspecified hip Unilateral post-traumatic osteoarthritis, right hip Unilateral post-traumatic osteoarthritis, left hip Other bilateral secondary osteoarthritis of hip Other unilateral secondary osteoarthritis of hip Osteoarthritis of hip, unspecified

*Codes with a greater degree of specificity should be considered first.

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Osteoarthritis of the Knee (ICD-9-CM 715.16, 715.26, 715.36, 715.96)

M17.0 M17.10* M17.11 M17.12 M17.2 M17.30* M17.31 M17.32 M17.4 M17.5 M17.9*

Bilateral primary osteoarthritis of knee Unilateral primary osteoarthritis, unspecified knee Unilateral primary osteoarthritis, right knee Unilateral primary osteoarthritis, left knee Bilateral post-traumatic osteoarthritis of knee Unilateral post-traumatic osteoarthritis, unspecified knee Unilateral post-traumatic osteoarthritis, right knee Unilateral post-traumatic osteoarthritis, left knee Other bilateral secondary osteoarthritis of knee Other unilateral secondary osteoarthritis of knee Osteoarthritis of knee, unspecified

*Codes with a greater degree of specificity should be considered first.

Radiculopathy (Primary) (ICD-9-CM 723.4, 724.3, 724.4, 729.2)

M54.10* M54.11 M54.12 M54.13 M54.14 M54.15 M54.16 M54.17 M54.18 M54.30* M54.31 M54.32

Radiculopathy, site unspecified Radiculopathy, occipito-atlanto-axial region Radiculopathy, cervical region Radiculopathy, cervicothoracic region Radiculopathy, thoracic region Radiculopathy, thoracolumbar region Radiculopathy, lumbar region Radiculopathy, lumbosacral region Radiculopathy, sacral and sacrococcygeal region Sciatica, unspecified side Sciatica, right side Sciatica, left side

*Codes with a greater degree of specificity should be considered first.

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