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L.6.01.404
Computerized (or computed) tomography, and often formerly referred to as computerized axial tomography (CAT) scan, is an radiologic procedure that combines many images with the aid of a computer to generate cross-sectional views and, if needed, three-dimensional images of the internal organs and structures of the body. Computerized tomography is more commonly known by its abbreviated names, CT scan or CAT scan. A CT scan is used to define normal and abnormal structures in the body and/or assist in procedures by helping to accurately guide the placement of instruments or treatments.
A large donut-shaped machine or scanner takes images at many different angles around the body. These images are processed by a computer to produce cross-sectional pictures of the body. In each of these pictures the body is seen as a "slice" of the body, which is recorded on a film. This recorded image is called a tomogram. "Computerized axial tomography" refers to the recorded tomogram "sections" at different levels of the body.
A CT provides clinical information in the detection, differentiation, and demarcation of disease. It is the primary diagnostic modality for a variety of presenting problems and is widely accepted as a supplement to other imaging techniques. CT examinations should be performed only for a valid medical reason and with the minimum exposure that provides the image quality necessary for adequate diagnostic information.
Related medical policies are -
Computed Tomography (CAT Scan) and Computed Tomographic Angiography (CTA) of the Chest and Thorax
Computed Tomography (CAT Scan) and Computed Tomographic Angiography (CTA) of the Abdomen and Pelvis
Computed Tomography (CAT Scan) and Computed Tomographic Angiography (CTA) of Extremity or Joint
Computed Tomography (CAT Scan) and Computed Tomographic Angiography (CTA) of the Head and Neck
Provider Accreditation for CT – Network Providers
All Network Providers billing the technical component of the CT must be accredited in CT by the Intersocietal Accreditation Commission (IAC) or a CT module by the American College of Radiology (ACR) or RadSite. The professional component of the CT will be reimbursed based upon the accreditation of the facility as the ACR, IAC or RadSite facility accreditations require that interpreting professional physicians also be accredited.
Computed tomography (CAT scan) of the cervical, thoracic, or lumbar spine is considered medically necessary for the following indications:
Traumatic injuries, including evaluation of acute injuries and their potential chronic/long term reparative changes.
Degenerative conditions and osteoarthritis evaluation. CT is often used to study the spine for conditions such as lumbar stenosis or in evaluating degenerative disc disease, and is the primary evaluation technique when MRI is contraindicated (e.g., the presence of cardiac pacemaker or other implants that are not MRI compatible)
Postoperative evaluations. CT has shown utility in evaluating postoperative patients with bone graft placement for fusion and/or with spinal instrumentation. The latter is sometimes performed with the additional use of an intrathecal contrast agent.
Infectious processes of the spine and related paraspinal tissues/structures.
Image guidance. CT of the spine can be used for imaging guidance before, during, and after various spine interventions, including myelography, biopsy, aspiration, stereotactic surgery, and spine injection procedures.
Neoplastic conditions and their complications. CT can provide valuable information in the evaluation of primary or metastatic neoplasms of the spine, to include marrow-replacing conditions such as multiple myeloma. It can also provide valuable information in relation to complications of neoplastic disease, including misalignment and pathologic vertebral compression fractures.
Evaluation of inflammatory lesions and crystal deposition disease, including presence and extent of involvement.
Congenital or developmental spine abnormalities. CT can provide valuable information in the evaluation of the osseous components of congenital spinal anomalies.
Abnormalities related to alignment or orientation of the spine, such as scoliosis or spondylolysis with or without spondylolisthesis.
Evaluation of spinal cord syrinxes and other primary processes involving the spinal cord, especially in the evaluation of intrathecal metastases, often in combination with intrathecal contrast use, in situations where MRI is contraindicated.
Computed tomography (CAT scan) of the cervical, thoracic, or lumbar spine is considered not medically necessary for all other indications, including when performed for screening purposes in asymptomatic patients (absence of signs, symptoms, or disease).
State Health Plan (SHP) Members:For dates of service on or prior to 12/31/2015, this policy applies to CAT scans of the spine when performed in the emergency room. This policy does not apply to CAT scans of the spine performed in non-emergency room settings. CAT scans of the spine performed in non-emergency room settings require pre-certification by the Plan’s Utilization Review Vendor.
Effective 01/01/2016, this policy applies to CAT scans of the spine performed in all settings for State Health Plan Members.
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.
Medically Necessary is defined as those services, treatments, procedures, equipment, drugs, devices, items or supplies furnished by a covered Provider that are required to identify or treat a Member's illness, injury or Mental Health Disorders, and which Company determines are covered under this Benefit Plan based on the criteria as follows in A through D:
A. consistent with the symptoms or diagnosis and treatment of the Member's condition, illness, or injury; and
B. appropriate with regard to standards of good medical practice; and
C. not solely for the convenience of the Member, his or her Provider; and
D. the most appropriate supply or level of care which can safely be provided to Member. When applied to the care of an Inpatient, it further means that services for the Member's medical symptoms or conditions require that the services cannot be safely provided to the Member as an Outpatient.
For the definition of medical necessity, “standards of good medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary.
Investigative is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized as a generally accepted standard of good medical practice for the treatment of the condition being treated and; therefore, is not considered medically necessary. For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting.
05/19/2014: New policy added. Approved by Radiology Physician Advisory Committee and Medical Policy Advisory Committee. Effective 09/15/2014.
06/30/2014: Policy Exceptions section updated regarding SHP members to state that this policy applies to CAT scans of the spine when performed in the emergency room. This policy does not apply to CAT scans of the spine performed in non-emergency room settings. CAT scans of the spine performed in non-emergency room settings require pre-certification by the Plan’s Utilization Review Vendor.
07/17/2015: Policy Guidelines updated to define medically necessary and investigative. Added ICD-9 diagnosis code range 203.00 - 203.02 to the Code Reference section.
09/01/2015: Medical policy revised to add ICD-10 codes. Code Reference section updated to extend ICD-9 diagnosis code 714 to the fourth digit (714.0).
12/31/2015: Policy Exceptions section updated to state that effective 01/01/2016, this policy applies to CAT scans of the spine performed in all settings for State Health Plan Members.
02/09/2016: Code Reference section updated to correct the following diagnosis code ranges: M48.30 - M48.39 should be M48.30 - M48.38, M84.40XA - M80.40XS should be M84.40XA - M84.40XS, G56.40 - G54.42 should be G56.40 - G56.42, S33.30XA - S33.039S should be S33.30XA - S33.39XS, S38.1XXA - S38.1XXA should be S38.1XXA - S38.1XXS, and S34.101A - S34.129A should be S34.101A - S34.129S.
06/08/2016: Policy number L.6.01.404 added.
07/25/2016: Code Reference section updated to make the following corrections: ICD-10 diagnosis code M84.048D should be T84.048D, M84.049D should be T84.049D, and S38.8XXA - S38.8XXS should be S33.8XXA - S33.8XXS.
09/09/2016: Code Reference section updated to make correction: ICD-10 diagnosis code Q05.00 should be Q05.0.
09/30/2016: Code Reference section updated to add the following new ICD-10 diagnosis codes: I72.6, T85.733A - T85.733S, T85.735A - T85.735S, T85.738A - T85.738S, and T85.810A - T85.810S.
09/29/2017: Code Reference section updated to add new ICD-10 diagnosis codes M48.061 and M48.062, effective 10/01/2017. Removed deleted ICD-10 diagnosis codes T84.048D and T84.049D.
09/28/2018: Code Reference section updated to add new ICD-10 diagnosis code R93.89, effective 10/01/2018.
09/25/2020: Code Reference section updated to add new ICD-10 diagnosis codes G96.191, G96.198, G96.810, G96.811, G96.819, G96.89, G97.83, G97.84, M08.4A, M19.09, M19.19, M19.29, M80.0AXA, M80.0AXD, M80.0AXG, M80.0AXK, M80.0AXP, M80.0AXS, M80.8AXA, M80.8AXD, M80.8AXG, M80.8AXK, M80.8AXP, and M80.8AXS, effective 10/01/2020. Removed deleted ICD-10 diagnosis codes M48.06, R93.8, and T14.90.
10/01/2021: Code Reference section updated to add new ICD-10 diagnosis codes G92.00 - G92.9 and M54.50 - M54.59, effective 10/01/2021.
09/30/2022: Policy reviewed. Policy statements unchanged. Policy Guidelines updated to change "Nervous/Mental Conditions" to "Mental Health Disorders" and "Medically Necessary" to "medical necessity." Code Reference section updated to add new ICD-10 diagnosis codes M51.A0, M51.A1, M51.A2, M51.A3, M51.A4, M51.A5, M62.5A0, M62.5A1, M62.5A2, and M62.5A9, effective 10/01/2022. Removed deleted ICD-10 diagnosis code G96.19.
09/27/2023: Code Reference section updated to add new ICD-10 diagnosis codes D48.117, G37.81, and G37.89, effective 10/01/2023. Removed deleted ICD-10 diagnosis codes G92 and M54.5.
10/17/2023: Policy reviewed; no changes.
10/01/2024: Code Reference section updated to add new ICD-10 diagnosis codes C81.7A, C88.91, M51.370, M51.371, M51.372, M51.379, and M62.85. Removed deleted ICD-10 diagnosis codes D48.1 and G37.8.
11/07/2024: Policy reviewed; no changes.
10/01/2025: Code Reference section updated to add new ICD-10 diagnosis codes G35.A, G35.B0, G35.B1, G35.B2, G35.C0, G35.C1, G35.C2, and G35.D.
11/01/2025: Added RadSite as an imaging accreditation body.
Radiology Physician Advisory Committee
Medical Policy Advisory Committee
American College of Radiology. ACR Practice Guideline for Performing and Interpreting Diagnostic Computed Tomography (CT), 2011.
Computed Tomography of the Cervical, Thoracic, and Lumbar Spine, Blue Cross and Blue Shield of Alabama
This may not be a comprehensive list of procedure codes applicable to this policy.
Code Number | Description | ||
CPT-4 | |||
72125 | Computed tomography, cervical spine; without contrast material | ||
72126 | Computed tomography, cervical spine; with contrast material | ||
72127 | Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections | ||
72128 | Computed tomography, thoracic spine; without contrast material | ||
72129 | Computed tomography, thoracic spine; with contrast material | ||
72130 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections | ||
72131 | Computed tomography, lumbar spine; without contrast material | ||
72132 | Computed tomography, lumbar spine; with contrast material | ||
72133 | Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections | ||
HCPCS | |||
ICD-9 Procedure | ICD-10 Procedure | ||
ICD-9 Diagnosis | ICD-10 Diagnosis | ||
170.2 | Malignant neoplasm of vertebral column, excluding sacrum and coccyx | C41.2 | Malignant neoplasm of vertebral column |
170.9 | Malignant neoplasm of bone and articular cartilage, site unspecified | C40.80 - C40.82 | Malignant neoplasm of overlapping sites of bone and articular cartilage of limb |
C40.90 - C40.92 | Malignant neoplasm of unspecified bones and articular cartilage of limb | ||
C41.9 | Malignant neoplasm of bone and articular cartilage, unspecified | ||
171.4 | Malignant neoplasm of connective and other soft tissue of thorax | C47.3 | Malignant neoplasm of peripheral nerves of thorax |
C49.3 | Malignant neoplasm of connective and soft tissue of thorax | ||
171.7 | Malignant neoplasm of connective and other soft tissue of trunk, unspecified site | C49.6 | Malignant neoplasm of connective and soft tissue of trunk, unspecified |
171.9 | Malignant neoplasm of connective and other soft tissue, site unspecified | C49.9 | Malignant neoplasm of connective and soft tissue, unspecified |
192.2 | Malignant neoplasm of spinal cord | C72.0 | Malignant neoplasm of spinal cord |
C72.1 | Malignant neoplasm of cauda equina | ||
192.3 | Malignant neoplasm of spinal meninges | C70.1 | Malignant neoplasm of spinal meninges |
195.0 | Malignant neoplasm of head, face, and neck (cervical region) | C76.0 | Malignant neoplasm of head, face and neck |
198.3 | Secondary malignant neoplasm of brain and spinal cord | C79.31 | Secondary malignant neoplasm of brain |
198.4 | Secondary malignant neoplasm of other parts of nervous system (meninges (cerebral) (spinal)) | C79.32 | Secondary malignant neoplasm of cerebral meninges |
C79.40 | Secondary malignant neoplasm of unspecified part of nervous system | ||
C79.49 | Secondary malignant neoplasm of other parts of nervous system | ||
198.5 | Secondary malignant neoplasm of bone and bone marrow | C79.51 | Secondary malignant neoplasm of bone |
C79.52 | Secondary malignant neoplasm of bone marrow | ||
198.89 | Secondary malignant neoplasm of other specified sites | C79.89 | Secondary malignant neoplasm of other specified sites |
C81.7A | Other Hodgkin lymphoma, in remission | ||
C88.91 | Malignant immunoproliferative disease, unspecified, in remission | ||
203.00 – 203.02 | Multiple myeloma code range | C90.00 – C90.02 | Multiple myeloma |
213.2 | Benign neoplasm of vertebral column, excluding sacrum and coccyx | D16.6 | Benign neoplasm of vertebral column |
213.9 | Benign neoplasm of bone and articular cartilage, site unspecified | D16.9 | Benign neoplasm of bone and articular cartilage, unspecified |
215.0 | Other benign neoplasm of connective and other soft tissue of head, face, and neck | D21.0 | Benign neoplasm of connective and other soft tissue of head, face and neck |
215.7 | Other benign neoplasm of connective and other soft tissue of trunk, unspecified | D21.6 | Benign neoplasm of connective and other soft tissue of trunk, unspecified |
215.9 | Other benign neoplasm of connective and other soft tissue of unspecified site | D21.9 | Benign neoplasm of connective and other soft tissue, unspecified |
225.3 | Benign neoplasm of spinal cord | D33.4 | Benign neoplasm of spinal cord |
225.4 | Benign neoplasm of spinal meninges | D32.1 | Benign neoplasm of spinal meninges |
229.8 | Benign neoplasm of other and unspecified sites | D19.7 | Benign neoplasm of mesothelial tissue of other sites |
D36.7 | Benign neoplasm of other specified sites | ||
234.8 | Carcinoma in situ of other specified sites | D09.3 D09.8 | Carcinoma in situ of thyroid and other endocrine glands Carcinoma in situ of other specified sites |
237.5 | Neoplasm of uncertain behavior of brain and spinal cord | D43.0 | Neoplasm of uncertain behavior of brain, supratentorial |
D43.1 | Neoplasm of uncertain behavior of brain, infratentorial | ||
D43.2 | Neoplasm of uncertain behavior of brain, unspecified | ||
D43.4 | Neoplasm of uncertain behavior of spinal cord | ||
237.6 | Neoplasm of uncertain behavior of meninges | D42.0 - D42.9 | Neoplasm of uncertain behavior of meninges |
238.0 | Neoplasm of uncertain behavior of bone and articular cartilage | D48.0 | Neoplasm of uncertain behavior of bone and articular cartilage |
238.1 | Neoplasm of uncertain behavior of connective and soft tissue | D48.117 | Desmoid tumor of back |
D48.2 | Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system | ||
238.8 | Neoplasm of uncertain behavior of other specified connective and soft tissue | D48.7 | Neoplasm of uncertain behavior of other specified sites |
239.2 | Neoplasms of unspecifed nature of bone, soft tissue, and skin | D49.2 | Neoplasm of unspecified behavior of bone, soft tissue, and skin |
239.7 | Neoplasm of unspecified nature of endocrine glands and other parts of nervous system | D49.7 | Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system |
239.89 | Neoplasms of unspecifed nature of other specified sites | D49.89 | Neoplasm of unspecified behavior of other specified sites |
268.2 | Osteomalacia, unspecified | M83.0 - M83.9 | Adult osteomalacia |
320.0 - 322.9 | Meningitis | B45.1 | Cerebral cryptococcosis |
G00.0 - G00.9 | Bacterial meningitis, not elsewhere classified | ||
G01 | Meningitis in bacterial diseases classified elsewhere | ||
G02 | Meningitis in other infectious and parasitic diseases classified elsewhere | ||
G03.0 | Nonpyogenic meningitis | ||
G03.1 | Chronic meningitis | ||
G03.8 | Meningitis due to other specified causes | ||
G03.9 | Meningitis, unspecified | ||
G04.2 | Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified | ||
323.0 - 323.9 | Encephalitis, myelitis, and encephalomyelitis | G04.00 - G04.02 | Acute disseminated encephalitis and encephalomyelitis (ADEM) |
G04.30 - G04.39 | Acute necrotizing hemorrhagic encephalopathy | ||
G04.81 - G04.89 | Other encephalitis, myelitis and encephalomyelitis | ||
G04.90 - G04.91 | Encephalitis, myelitis and encephalomyelitis, unspecified | ||
G05.3 - G05.4 | Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere | ||
G37.4 | Subacute necrotizing myelitis of central nervous system | ||
G92.00 - G92.9 | Toxic encephalopathy | ||
324.1 | Intraspinal abscess | G06.1 | Intraspinal abscess and granuloma |
324.9 | Intracranial and intraspinal abscess of unspecified site | G06.2 | Extradural and subdural abscess, unspecified |
G07 | Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere | ||
334.0 - 334.9 | Spinocerebellar disease | G11.0 - G11.9 | Hereditary ataxia |
335.0 - 335.9 | Anterior horn cell disease, unspecified | G11.0 - G11.9 | Hereditary ataxia |
G12.0 - G12.9 | Spinal muscular atrophy and related syndromes | ||
G32.81 | Cerebellar ataxia in diseases classified elsewhere | ||
336.0 - 336.9 | Other diseases of spinal cord | G32.0 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
G95.0 - G95.9 | Other and unspecified diseases of spinal cord | ||
G99.2 | Myelopathy in diseases classified elsewhere | ||
340 | Multiple sclerosis | G35, G35.A, G35.B0, G35.B1, G35.B2, G35.C0, G35.C1, G35.C2, G35.D | Multiple sclerosis (G35.A, G35.B0, G35.B1, G35.B2, G35.C0, G35.C1, G35.C2, G35.D New 10/01/2025) (G35 Deleted 09/30/2025) |
341.0 | Neuromyelitis optica | G36.0 | Neuromyelitis optica [Devic] |
341.1 | Schilder's disease | G37.0 | Diffuse sclerosis of central nervous system |
G37.5 | Concentric sclerosis [Balo] of central nervous system | ||
341.20 - 341.22 | Acute (transverse) myelitis | G37.3 | Acute transverse myelitis in demyelinating disease of central nervous system |
341.8 | Other demyelinating diseases of central nervous system | G36.1 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
G36.8 | Other specified acute disseminated demyelination | ||
G37.1 | Central demyelination of corpus callosum | ||
G37.2 | Central pontine myelinolysis | ||
G37.4 | Subacute necrotizing myelitis of central nervous system | ||
G37.81 | Myelin oligodendrocyte glycoprotein antibody disease | ||
G37.89 | Other specified demyelinating diseases of central nervous system | ||
341.9 | Demyelinating disease of central nervous system, unspecified | G37.9 | Demyelinating disease of central nervous system, unspecified |
342.00 - 342.92 | Hemiplegia and hemiparesis | G81.00 - G81.94 | Hemiplegia and hemiparesis |
344.60 - 344.61 | Cauda equina syndrome | G83.4 | Cauda equina syndrome |
349.2 | Disorders of meninges, not elsewhere classified | G96.12 | Meningeal adhesions (cerebral) (spinal) |
G96.191, G96.198 | Other disorders of meninges, not elsewhere classified | ||
G96.810, G96.811, G96.819 | Intracranial hypotension | ||
G96.89 | Other specified disorders of central nervous system | ||
G97.83 | Intracranial hypotension following lumbar cerebrospinal fluid shunting | ||
G97.84 | Intracranial hypotension following other procedure | ||
349.9 | Unspecified disorders of nervous system | G96.9 | Disorder of central nervous system, unspecified |
G98.8 | Other disorders of nervous system | ||
353.0 - 353.8 | Nerve root and plexus disorders | G54.0 - G54.8 | Nerve root and plexus disorders |
354.4 | Causalgia of upper limb | G56.40 - G56.42 | Causalgia of upper limb |
355.71 | Causalgia of lower limb | G57.70 - G57.72 | Causalgia of lower limb |
355.9 | Mononeuritis of unspecified site | G58.8 G58.9 | Other specified mononeuropathies Mononeuropathy, unspecified |
I72.6 | Aneurysm of vertebral artery | ||
564.00 - 564.09 | Constipation | K59.00 - K59.09 | Constipation |
596.51 - 596.59 | Other functional disorders of bladder | N31.0 - N31.9 N36.44 | Neuromuscular dysfunction of bladder, not elsewhere classified Muscular disorders of urethra |
711.08 | Pyogenic arthritis, other specified sites | M00.08 | Staphylococcal arthritis, vertebrae |
M00.18 | Pneumococcal arthritis, vertebrae | ||
M00.28 | Other streptococcal arthritis, vertebrae | ||
M00.88 | Arthritis due to other bacteria, vertebrae | ||
M00.9 | Pyogenic arthritis, unspecified | ||
714.0 | Rheumatoid arthritis | M06.08 | Rheumatoid arthritis without rheumatoid factor, vertebrae |
M06.28 | Rheumatoid bursitis, vertebrae | ||
M06.88 | Other specified rheumatoid arthritis, vertebrae | ||
714.1 | Felty's syndrome | M05.00 | Felty's syndrome, unspecified site |
M05.09 | Felty's syndrome, multiple sites | ||
714.2 | Other rheumatoid arthritis with visceral or systemic involvement | M05.69 | Rheumatoid arthritis of multiple sites with involvement of other organs and systems |
714.30 | Polyarticular juvenile rheumatoid arthritis, chronic or unspecified | M15.0 | Primary generalized (osteo)arthritis |
714.31 | Polyarticular juvenile rheumatoid arthritis, acute | M08.3 | Juvenile rheumatoid polyarthritis (seronegative) |
714.32 | Pauciarticular juvenile rheumatoid arthritis | M08.48 | Pauciarticular juvenile rheumatoid arthritis, vertebrae |
714.33 | Monoarticular juvenile rheumatoid arthritis | M08.40 | Pauciarticular juvenile rheumatoid arthritis, unspecified site |
M08.4A | Pauciarticular juvenile rheumatoid arthritis, other specified site | ||
714.4 | Chronic postrheumatic arthropathy | M12.08 | Chronic postrheumatic arthropathy [Jaccoud], other specified site |
714.89 | Other specified inflammatory polyarthropathies | M06.4 | Inflammatory polyarthropathy |
714.9 | Unspecified inflammatory polyarthropathy | M06.4 | Inflammatory polyarthropathy |
715.00 | Generalized osteoarthrosis, unspecified site | M15.9 | Polyosteoarthritis, unspecified |
M19.09 | Primary osteoarthritis, other specified site | ||
M19.19 | Post-traumatic osteoarthritis, other specified site | ||
M19.29 | Secondary osteoarthritis, other specified site | ||
715.10 715.18 | Primary localized osteoarthrosis, unspecified site Primary localized osteoarthrosis, other specified sites | M19.91 | Primary osteoarthritis, unspecified site |
715.20 715.28 | Secondary localized osteoarthrosis, unspecified site Secondary localized osteoarthrosis, other specified site | M19.92 M19.93 | Post-traumatic osteoarthritis, unspecified site Secondary osteoarthritis, unspecified site |
715.30 715.38 | Localized osteoarthrosis not specified whether primary or secondary, unspecified site Localized osteoarthrosis not specified whether primary or secondary, other specified sites | M19.90 | Unspecified osteoarthritis, unspecified site |
715.80 | Osteoarthrosis involving more than one site, but not specified as generalized, unspecified site | M15.4 M15.8 | Erosive (osteo)arthritis Other polyosteoarthritis |
715.89 | Osteoarthrosis involving multiple sites, but not specified as generalized | M15.3 M15.8 | Secondary multiple arthritis Other polyosteoarthritis |
715.90 | Osteoarthrosis, unspecified whether generalized or localized, unspecified site | M15.9 M19.90 | Polyosteoarthritis, unspecified Unspecified osteoarthritis, unspecified site |
715.98 | Osteoarthrosis, unspecified whether generalized or localized, other specified sites | M19.90 | Unspecified osteoarthritis, unspecified site |
720.0 - 720.9 | Ankylosing spondylitis and other inflammatory spondylopathies | A18.01 | Tuberculosis of spine |
M08.1 | Juvenile ankylosing spondylitis | ||
M45.0 - M45.9 | Ankylosing spondylitis | ||
M46.00 - M46.09 | Spinal enthesopathy | ||
M46.1 | Sacroiliitis, not elsewhere classified | ||
M46.50 - M46.59 | Other infective spondylopathies | ||
M46.80 - M46.89 | Other specified inflammatory spondylopathies | ||
M46.90 - M46.99 | Unspecified inflammatory spondylopathy | ||
M48.8X1 - M48.8X9 | Other specified spondylopathies | ||
M49.80 - M49.89 | Spondylopathy in diseases classified elsewhere | ||
721.0 - 721.91 | Spondylosis and allied disorders | M25.78 | Osteophyte, vertebrae |
M47.011 - M47.9 | Spondylosis | ||
M48.10 - M48.19 | Ankylosing hyperostosis [Forestier] | ||
M48.20 - M48.27 | Kissing spine | ||
M48.30 - M48.38 | Traumatic spondylopathy | ||
M48.9 | Spondylopathy, unspecified | ||
722.0 - 722.2 | Displacement of intervertebral disc without myelopathy | M50.20 - M50.23 | Other cervical disc displacement |
M51.24 - M51.27 | Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement | ||
722.30 - 722.39 | Schmorl's nodes | M51.44 - M51.47 | Schmorl's nodes |
722.4 | Degeneration of cervical intervertebral disc | M50.30 - M50.33 | Other cervical disc degeneration |
722.51 - 722.52 | Degeneration of thoracic or lumbar intervertebral disc | M51.34 - M51.379 | Other thoracic, thoracolumbar and lumbosacral intervertebral disc degeneration |
722.6 | Degeneration of intervertebral disc, site unspecified | M51.34 - M51.37 | Other thoracic, thoracolumbar and lumbosacral intervertebral disc degeneration |
722.70 - 722.73 | Intervertebral disc disorder with myelopathy | M50.00 - M50.03 | Cervical disc disorder with myelopathy |
M51.04 - M51.06 | Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with myelopathy | ||
722.80 - 722.83 | Postlaminectomy syndrome | M96.1 | Postlaminectomy syndrome, not elsewhere classified |
722.90 - 722.93 | Other and unspecified disc disorder | M46.40 - M46.49 | Discitis, unspecified |
M50.80 - M50.83 | Other cervical disc disorders | ||
M50.90 - M50.93 | Cervical disc disorder, unspecified | ||
M51.84 - M51.87 | Other thoracic, thoracolumbar and lumbosacral intervertebral disc disorders | ||
M51.A0, M51.A1, M51.A2, M51.A3, M51.A4, M51.A5 | Other lumbar and lumbosacral annulus fibrosus disc defects | ||
M51.9 | Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder | ||
723.0 | Spinal stenosis, cervical region | M48.01 | Spinal stenosis, occipito-atlanto-axial region |
M48.02 | Spinal stenosis, cervical region | ||
M48.03 | Spinal stenosis, cervicothoracic region | ||
M99.20 | Subluxation stenosis of neural canal of head region | ||
M99.21 | Subluxation stenosis of neural canal of cervical region | ||
M99.30 | Osseous stenosis of neural canal of head region | ||
M99.31 | Osseous stenosis of neural canal of cervical region | ||
M99.40 | Connective tissue stenosis of neural canal of head region | ||
M99.41 | Connective tissue stenosis of neural canal of cervical region | ||
M99.50 | Intervertebral disc stenosis of neural canal of head region | ||
M99.51 | Intervertebral disc stenosis of neural canal of cervical region | ||
M99.60 | Osseous and subluxation stenosis of intervertebral foramina of head region | ||
M99.61 | Osseous and subluxation stenosis of intervertebral foramina of cervical region | ||
M99.70 | Connective tissue and disc stenosis of intervertebral foramina of head region | ||
M99.71 | Connective tissue and disc stenosis of intervertebral foramina of cervical region | ||
723.1 | Cervicalgia | M54.2 | Cervicalgia |
723.4 | Brachial neuritis or radiculitis NOS | M50.10 - M50.13 | Cervical disc disorder with radiculopathy |
M54.11 | Radiculopathy, occipito-atlanto-axial region | ||
M54.12 | Radiculopathy, cervical region | ||
M54.13 | Radiculopathy, cervicothoracic region | ||
723.6 | Panniculitis specified as affecting neck | M54.00 | Panniculitis affecting regions of neck and back, site unspecified |
M54.01 | Panniculitis affecting regions of neck and back, occipito-atlanto-axial region | ||
M54.02 | Panniculitis affecting regions of neck and back, cervical region | ||
M62.5A0, M62.5A1, M62.5A2, M62.5A9 | Muscle wasting and atrophy, not elsewhere classified, back | ||
723.7 | Ossification of posterior longitudinal ligament in cervical region | M67.88 | Other specified disorders of synovium and tendon, other site |
723.8 | Other syndromes affecting cervical region | M53.81 | Other specified dorsopathies, occipito-atlanto-axial region |
M53.82 | Other specified dorsopathies, cervical region | ||
M53.83 | Other specified dorsopathies, cervicothoracic region | ||
M54.81 | Occipital neuralgia | ||
723.9 | Unspecified musculoskeletal disorders and symptoms referable to neck | M53.82 | Other specified dorsopathies, cervical region |
724.00 - 724.09 | Spinal stenosis, other than cervical | M48.00, M48.04, M48.05, M48.061, M48.062, M48.07, M48.08 | Spinal stenosis |
M99.22, M99.23, M99.24, M99.25, M99.26, M99.27, M99.28, M99.29 | Subluxation stenosis of neural canal | ||
M99.32, M99.33, M99.34, M99.35, M99.36, M99.37, M99.38, M99.39 | Osseous stenosis of neural canal | ||
M99.42, M99.43, M99.44, M99.45, M99.46, M99.47, M99.48, M99.49 | Connective tissue stenosis of neural canal | ||
M99.52, M99.53, M99.54, M99.55, M99.56, M99.57, M99.58, M99.59 | Intervertebral disc stenosis of neural canal | ||
M99.62, M99.63, M99.64, M99.65, M99.66, M99.67, M99.68, M99.69 | Osseous and subluxation stenosis of intervertebral foramina | ||
M99.72, M99.73, M99.74, M99.75, M99.76, M99.77, M99.78, M99.79 | Connective tissue and disc stenosis of intervertebral foramina | ||
724.1 | Pain in thoracic spine | M54.6 | Pain in thoracic spine |
724.2 | Lumbago | M54.50 - M54.59 | Low back pain code range |
724.3 | Sciatica | M54.30, M54.31, M54.32 | Sciatica |
M54.40, M54.41, M54.42 | Lumbago with sciatica | ||
724.4 | Thoracic or lumbosacral neuritis or radiculitis, unspecified | M51.14, M51.15, M51.16, M51.17 | Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy |
M54.14, M54.15, M54.16, M54.17 | Radiculopathy | ||
724.5 | Backache, unspecified | M54.89 | Other dorsalgia |
M54.9 | Dorsalgia, unspecified | ||
724.6 | Disorders of sacrum | M43.27 | Fusion of spine, lumbosacral region |
M43.28 | Fusion of spine, sacral and sacrococcygeal region | ||
M53.2X7 | Spinal instabilities, lumbosacral region | ||
M53.2X8 | Spinal instabilities, sacral and sacrococcygeal region | ||
M53.3 | Sacrococcygeal disorders, not elsewhere classified | ||
M53.86 | Other specified dorsopathies, lumbar region | ||
M53.87 | Other specified dorsopathies, lumbosacral region | ||
M53.88 | Other specified dorsopathies, sacral and sacrococcygeal region | ||
724.8 | Other symptoms referable to back | M54.03 | Panniculitis affecting regions of neck and back, cervicothoracic region |
M54.04 | Panniculitis affecting regions of neck and back, thoracic region | ||
M54.05 | Panniculitis affecting regions of neck and back, thoracolumbar region | ||
M54.06 | Panniculitis affecting regions of neck and back, lumbar region | ||
M54.07 | Panniculitis affecting regions of neck and back, lumbosacral region | ||
M54.08 | Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region | ||
M54.09 | Panniculitis affecting regions, neck and back, multiple sites in spine | ||
M62.830 | Muscle spasm of back | ||
724.9 | Other specified back disorders | M43.20 - M43.28 | Fusion of spine |
M43.8X9 | Other specified deforming dorsopathies, site unspecified | ||
M53.80 | Other specified dorsopathies, site unspecified | ||
M53.84 | Other specified dorsopathies, thoracic region | ||
M53.85 | Other specified dorsopathies, thoracolumbar region | ||
M53.9 | Dorsopathy, unspecified | ||
726.91 | Exostosis of unspecified site | M25.70 | Osteophyte, unspecified joint |
728.87 | Muscle weakness | M62.81 | Muscle weakness (generalized) |
M62.85 | Dysfunction of the multifidus muscles, lumbar region (New 10/01/2024) | ||
729.2 | Neuralgia, neuritis, and radiculitis, unspecified | M54.10 | Radiculopathy, site unspecified |
M54.18 | Radiculopathy, sacral and sacrococcygeal region | ||
M79.2 | Neuralgia and neuritis, unspecified | ||
729.5 | Pain in soft tissue of limb | M79.601 - M79.676 | Pain in limb, hand, foot, fingers and toes |
730.00 | Acute osteomyelitis, site unspecified | M86.00 | Acute hematogenous osteomyelitis, unspecified site |
M86.10 | Other acute osteomyelitis, unspecified site | ||
M86.20 | Subacute osteomyelitis, unspecified site | ||
730.08 | Acute osteomyelitis, other specified site | M86.08 | Acute hematogenous osteomyelitis, other sites |
M86.18 | Other acute osteomyelitis, other site | ||
M86.28 | Subacute osteomyelitis, other site | ||
730.09 | Acute osteomyelitis, multiple sites | M86.09 | Acute hematogenous osteomyelitis, multiple sites |
M86.19 | Other acute osteomyelitis, multiple sites | ||
M86.29 | Subacute osteomyelitis, multiple sites | ||
730.10 | Chronic osteomyelitis, site unspecified | M86.30 | Chronic multifocal osteomyelitis, unspecified site |
M86.40 | Chronic osteomyelitis with draining sinus, unspecified site | ||
M86.50 | Other chronic hematogenous osteomyelitis, unspecified site | ||
M86.60 | Other chronic osteomyelitis, unspecified site | ||
M86.8X9 | Other osteomyelitis, unspecified sites | ||
730.18 | Chronic osteomyelitis, other specified sites | M86.38 | Chronic multifocal osteomyelitis, other site |
M86.48 | Chronic osteomyelitis with draining sinus, other site | ||
M86.58 | Other chronic hematogenous osteomyelitis, other site | ||
M86.68 | Other chronic osteomyelitis, other site | ||
M86.8X8 | Other osteomyelitis, other site | ||
730.19 | Chronic osteomyelitis, multiple sites | M86.39 | Chronic multifocal osteomyelitis, multiple sites |
M86.69 | Other chronic osteomyelitis, multiple sites | ||
M86.8X0 | Other osteomyelitis, multiple sites | ||
730.20 | Unspecified osteomyelitis, site unspecified | M86.9 | Osteomyelitis, unspecified |
730.28 | Unspecified osteomyelitis, other specified sites | M46.20 - M46.28 | Osteomyelitis of vertebra |
730.29 | Unspecified osteomyelitis, multiple sites | M86.9 | Osteomyelitis, unspecified |
730.35 | Periostitis, without mention of osteomyelitis, pelvic region and thigh | ||
730.38 | Periostitis, without mention of osteomyelitis, other specified sites | ||
730.39 | Periostitis, without mention of osteomyelitis, multiple sites | ||
730.78 | Osteopathy resulting from poliomyelitis, other specified sites | M89.68 | Osteopathy after poliomyelitis, other site |
730.79 | Osteopathy resulting from poliomyelitis, multiple sites | M89.69 | Osteopathy after poliomyelitis, multiple sites |
730.80 | Other infections involving bone in diseases classified elsewhere, site unspecified | M90.80 | Osteopathy in diseases classified elsewhere, unspecified site |
730.88 | Other infections involving bone diseases classified elsewhere, other specified sites | A18.01 | Tuberculosis of spine |
A18.03 | Tuberculosis of other bones | ||
M90.88 | Osteopathy in diseases classified elsewhere, other site | ||
730.89 | Other infections involving bone diseases classified elsewhere, multiple sites | M90.89 | Osteopathy in diseases classified elsewhere, multiple sites |
730.90 730.99 | Unspecified infection of bone, site unspecified Unspecified infection of bone in multiple sites | M86.9 | Osteomyelitis, unspecified |
730.98 | Unspecified infection of bone of other specified site | M46.30 - M46.39 M86.9 | Infection of intervertebral disc (pyogenic) Osteomyelitis, unspecified |
731.0 | Osteitis deformans without mention of bone tumor | M88.0 - M88.9 | Osteitis deformans [Paget's disease of bone] |
732.0 | Juvenile osteochondrosis of spine | M42.00 - M42.09 | Juvenile osteochondrosis of spine |
732.7 | Osteochondritis dissecans | M93.20 - M93.29 | Osteochondritis dissecans |
732.8 | Other specified forms of osteochondropathy | M42.10 - M42.19 | Adult osteochondrosis of spine |
M93.1 | Kienbock's disease of adults | ||
M93.80 - M93.89 | Other specified osteochondropathies | ||
733.00 - 733.09 | Osteoporosis code range | M81.0 - M81.8 | Osteoporosis without current pathological fracture |
733.10 | Pathologic fracture, unspecified site | M80.00XA - M80.00XS | Age-related osteoporosis with current pathological fracture, unspecified site |
M80.80XA - M80.80XS | Other osteoporosis with current pathological fracture, unspecified site | ||
M84.40XA - M84.40XS | Pathological fracture, unspecified site | ||
M84.50XA - M84.50XS | Pathological fracture in neoplastic disease, unspecified site | ||
M84.60XA - M84.60XS | Pathological fracture in other disease, unspecified site | ||
733.13 | Pathologic fracture of vertebrae | M48.50XA - M48.58XS | Collapsed vertebra, not elsewhere classified, site unspecified |
M80.08XA - M80.08XS | Age-related osteoporosis with current pathological fracture, vertebra(e) | ||
M84.48XA - M84.48XS | Pathological fracture, other site | ||
M84.58XA - M84.58XS | Pathological fracture in neoplastic disease, other specified site | ||
M84.68XA - M84.68XS | Pathological fracture in other disease, other site | ||
733.19 | Pathologic fracture of other specified site | M84.48XA - M84.48XS | Pathological fracture, other site |
M84.68XA - M84.68XS | Pathological fracture in other disease, other site | ||
733.20 - 733.29 | Cyst of bone | M85.00 - M85.09 | Fibrous dysplasia (monostotic) |
M85.40 - M85.48 | Solitary bone cyst | ||
M85.50 - M85.59 | Aneurysmal bone cyst | ||
M85.60 - M85.69 | Other cyst of bone | ||
733.40 | Aseptic necrosis of bone, site unspecified | M87.00 | Idiopathic aseptic necrosis of unspecified bone |
M87.10 | Osteonecrosis due to drugs, unspecified bone | ||
M87.20 | Osteonecrosis due to previous trauma, unspecified bone | ||
M87.30 | Other secondary osteonecrosis, unspecified bone | ||
M87.80 | Other osteonecrosis, unspecified bone | ||
M87.9 | Osteonecrosis, unspecified | ||
M90.50 | Osteonecrosis in diseases classified elsewhere, unspecified site | ||
733.49 | Other aspetic necrosis of bone | M87.08 | Idiopathic aseptic necrosis of bone, other site |
M87.09 | Idiopathic aseptic necrosis of bone, multiple sites | ||
M87.188 | Osteonecrosis due to drugs, other site | ||
M87.19 | Osteonecrosis due to drugs, multiple sites | ||
M87.28 | Osteonecrosis due to previous trauma, other site | ||
M87.29 | Osteonecrosis due to previous trauma, multiple sites | ||
M87.38 | Other secondary osteonecrosis, other site | ||
M87.39 | Other secondary osteonecrosis, multiple sites | ||
M87.88 | Other osteonecrosis, other site | ||
M87.89 | Other osteonecrosis, multiple sites | ||
M90.58 | Osteonecrosis in diseases classified elsewhere, other site | ||
M90.59 | Osteonecrosis in diseases classified elsewhere, multiple sites | ||
733.5 | Osteitis condensans | M85.30 - M85.39 | Osteitis condensans |
733.6 | Tietze's disease | M94.0 | Chondrocostal junction syndrome [Tietze] |
733.7 | Algoneurodystrophy | M89.00 - M89.09 | Algoneurodystrophy |
733.81 | Malunion of fracture | M80.00XA - M80.00XS | Age-related osteoporosis with current pathological fracture, unspecified site |
M80.08XA - M80.08XS | Age-related osteoporosis with current pathological fracture, vertebra(e) | ||
M80.80XA - M80.80XS | Other osteoporosis with current pathological fracture, unspecified site | ||
M80.88XA - M80.88XS | Other osteoporosis with current pathological fracture, vertebra(e) | ||
M80.0AXA, M80.0AXD, M80.0AXG, M80.0AXK, M80.0AXP, M80.0AXS | Age-related osteoporosis with current pathological fracture, other site | ||
M80.8AXA, M80.8AXD, M80.8AXG, M80.8AXK, M80.8AXP, M80.8AXS | Other osteoporosis with current pathological fracture, other site | ||
733.82 | Nonunion of fracture | M80.00XA - M80.00XS | Age-related osteoporosis with current pathological fracture, unspecified site |
M80.08XA - M80.08XS | Age-related osteoporosis with current pathological fracture, vertebra(e) | ||
M80.80XA - M80.80XS | Other osteoporosis with current pathological fracture, unspecified site | ||
M80.88XA - M80.88XS | Other osteoporosis with current pathological fracture, vertebra(e) | ||
733.90 | Disorder of bone and cartilage, unspecified | M85.9 | Disorder of bone density and structure, unspecified |
M89.9 | Disorder of bone, unspecified | ||
M94.9 | Disorder of cartilage, unspecified | ||
733.91 | Arrest of bone development or growth | M89.18 | Physeal arrest, other site |
733.92 | Chondromalacia | M94.20 | Chondromalacia, unspecified site |
M94.28 | Chondromalacia, other site | ||
M94.29 | Chondromalacia, multiple sites | ||
733.95 | Stress fracture of other bone | M48.40XA - M48.48XS | Fatigue fracture of vertebra |
733.99 | Other disorders of bone and cartilage | M84.88 | Other disorders of continuity of bone, other site |
M84.9 | Disorder of continuity of bone, unspecified | ||
M85.10 | Skeletal fluorosis, unspecified site | ||
M85.18 | Skeletal fluorosis, other site | ||
M85.19 | Skeletal fluorosis, multiple sites | ||
M85.80 | Other specified disorders of bone density and structure, unspecified site | ||
M85.88 | Other specified disorders of bone density and structure, other site | ||
M85.89 | Other specified disorders of bone density and structure, multiple sites | ||
M89.20 | Other disorders of bone development and growth, unspecified site | ||
M89.28 | Other disorders of bone development and growth, other site | ||
M89.29 | Other disorders of bone development and growth, multiple sites | ||
M89.30 | Hypertrophy of bone, unspecified site | ||
M89.38 | Hypertrophy of bone, other site | ||
M89.39 | Hypertrophy of bone, multiple sites | ||
M89.50 | Osteolysis, unspecified site | ||
M89.58 | Osteolysis, other site | ||
M89.59 | Osteolysis, multiple sites | ||
M89.8X0 | Other specified disorders of bone, multiple sites | ||
M89.8X8 | Other specified disorders of bone, other site | ||
M89.8X9 | Other specified disorders of bone, unspecified site | ||
M94.1 | Relapsing polychondritis | ||
M94.20 | Chondromalacia, unspecified site | ||
M94.28 | Chondromalacia, other site | ||
M94.29 | Chondromalacia, multiple sites | ||
736.79 | Other acquired deformities of ankle and foot (foot drop) | M21.071 - M21.079 | Valgus deformity, not elsewhere classified, ankle |
M21.371 - M21.379 | Foot drop (acquired) | ||
M21.6X1 - M21.6X9 | Other acquired deformities of foot | ||
737.0 - 737.9 | Curvature of spine | A18.01 | Tuberculosis of spine |
M40.00 - M40.57 | Kyphosis and lordosis | ||
M41.00 - M41.9 | Scoliosis | ||
M43.8X1 - M43.8X9 | Other specified deforming dorsopathies | ||
M43.9 | Deforming dorsopathy, unspecified | ||
M96.2 | Postradiation kyphosis | ||
M96.3 | Postlaminectomy kyphosis | ||
M96.4 | Postsurgical lordosis | ||
M96.5 | Postradiation scoliosis | ||
738.2 | Acquired deformity of neck | M95.3 | Acquired deformity of neck |
M99.81 | Other biomechanical lesions of cervical region | ||
738.4 | Acquired spondylolisthesis | M43.00 - M43.09 | Spondylolysis |
M43.10 - M43.19 | Spondylolisthesis | ||
738.5 | Other acquired deformity of back or spine | M99.83 | Other biomechanical lesions of lumbar region |
M99.84 | Other biomechanical lesions of sacral region | ||
739.1 | Nonallopathic lesion of cervical region, not elsewhere classified | M99.01 | Segmental and somatic dysfunction of cervical region |
739.2 | Nonallopathic lesion of thoracic region, not elsewhere classified | M99.02 | Segmental and somatic dysfunction of thoracic region |
739.3 | Nonallopathic lesion of lumbar region, not elsewhere classified | M99.03 | Segmental and somatic dysfunction of lumbar region |
741.00 - 741.93 | Spina bifida | Q05.0 - Q05.9 | Spina bifida |
Q07.00 - Q07.03 | Arnold-Chiari syndrome | ||
742.51 - 742.59 | Other specified anomalies of spinal cord | Q06.0 - Q06.9 | Other congenital malformations of spinal cord |
742.8 | Other specified anomalies of nervous system | G90.1 Q07.8 | Familial dysautonomia [Riley-Day] Other specified congenital malformations of nervous system |
742.9 | Unspecified anomaly of brain, spinal cord, and nervous system | Q04.9 | Congenital malformation of brain, unspecified |
Q06.9 | Congenital malformation of spinal cord, unspecified | ||
Q07.9 | Congenital malformation of nervous system, unspecified | ||
747.82 | Spinal vessel anomaly | Q27.9 | Congenital malformation of peripheral vascular system, unspecified |
754.2 | Congenital musculoskeletal deformity of spine | Q67.5 | Congenital deformity of spine |
Q76.3 | Congenital scoliosis due to congenital bony malformation | ||
Q76.425 - Q76.429 | Congenital lordosis | ||
756.10 - 756.19 | Anomalies of spine | Q76.0 | Spina bifida occulta |
Q76.1 | Klippel-Feil syndrome | ||
Q76.2 | Congenital spondylolisthesis | ||
Q76.411 - Q76.419 | Other congenital malformations of spine, not associated with scoliosis | ||
Q76.49 | Other congenital malformations of spine, not associated with scoliosis | ||
756.50 - 756.59 | Osteodystrophies | Q77.3 | Chondrodysplasia punctata |
Q77.6 | Chondroectodermal dysplasia | ||
Q78.0 - Q78.9 | Other osteochondrodysplasias | ||
767.4 | Injury to spine and spinal cord | P11.5 | Birth injury to spine and spinal cord |
781.2 | Abnormality of gait | R26.0 | Ataxic gait |
R26.1 | Paralytic gait | ||
R26.81 - R26.89 | Other abnormalities of gait and mobility | ||
R26.9 | Unspecified abnormalities of gait and mobility | ||
781.4 | Transient paralysis of limb | R29.5 | Transient paralysis |
781.99 | Other symptoms involving nervous and musculoskeletal systems | R29.6 | Repeated falls |
R29.818 | Disturbances of skin sensation | ||
R29.898 | Other symptoms and signs involving the musculoskeletal system | ||
R29.90 - R29.91 | Unspecified symptoms and signs involving the nervous and musculoskeletal systems | ||
782.0 | Disturbance of skin sensation (extremity numbness or tingling) | R20.0 - R20.9 | Disturbances of skin sensation |
784.2 | Swelling, mass, or lump in head and neck | R22.0 | Localized swelling, mass and lump, head |
R22.1 | Localized swelling, mass and lump, neck | ||
R90.0 | Intracranial space-occupying lesion found on diagnostic imaging of central nervous system | ||
787.62 | Fecal smearing | R15.1 | Fecal smearing |
792.0 | Nonspecific abnormal finding in cerebrospinal fluid | R83.0 - R83.9 | Abnormal findings in cerebrospinal fluid |
793.7 | Nonspecific (abnormal) findings on radiological and other examination of musculoskeletal system | R93.6 | Abnormal findings on diagnostic imaging of limbs |
R93.7 | Abnormal findings on diagnostic imaging of other parts of musculoskeletal system | ||
793.99 | Other nonspecific (abnormal) findings on radiological and other examination of body structure | R90.89 | Other abnormal findings on diagnostic imaging of central nervous system |
R93.89 | Abnormal findings on diagnostic imaging of other specified body structures | ||
794.10 | Abnormal response to nerve stimulation, unspecified | R94.130 | Abnormal response to nerve stimulation, unspecified |
794.17 | Abnormal EMG | R94.131 | Abnormal electromyogram [EMG] |
796.1 | Abnormal reflex | R29.2 | Abnormal reflex |
805.00 - 806.9 | Fracture of vertebral column | S12.000A - S12.9XXS | Fracture of cervical vertebra and other parts of neck |
S22.000A - S22.089S | Fracture of thoracic vertebra | ||
S32.000A - S32.059S | Fracture of lumbar vertebra | ||
S32.10XA - S32.19XS | Fracture of sacrum | ||
S32.2XXA - S32.2XXS | Fracture of coccyx | ||
809.0 | Fracture of bones of trunk, closed | S22.9XXA | Fracture of bony thorax, part unspecified, initial encounter for closed fracture |
809.1 | Fracture of bones of trunk, open | S22.9XXB | Fracture of bony thorax, part unspecified, initial encounter for open fracture |
839.00 - 839.9 | Dislocation of vertebra | M99.10 - M99.19 | Subluxation complex (vertebral) |
S03.1XXA - S03.1XXS | Dislocation of septal cartilage of nose | ||
S11.90XA - S11.90XS | Unspecified open wound of unspecified part of neck | ||
S13.0XXA - S13.0XXS | Traumatic rupture of cervical intervertebral disc | ||
S13.100A - S13.181S | Subluxation and dislocation of cervical vertebrae | ||
S13.20XA - S13.29XS | Dislocation of other and unspecified parts of neck | ||
S21.109A - S21.109S | Unspecified open wound of unspecified front wall of thorax without penetration into thoracic cavity | ||
S21.209A - S21.209S | Unspecified open wound of unspecified back wall of thorax without penetration into thoracic cavity | ||
S23.0XXA - S23.0XXS | Traumatic rupture of thoracic intervertebral disc | ||
S23.100A - S23.171S | Subluxation and dislocation of thoracic vertebra | ||
S23.20XA - S23.20XS | Dislocation of unspecified part of thorax | ||
S23.29XA - S23.29XS | Dislocation of other parts of thorax | ||
S31.000A - S31.000S | Unspecified open wound of lower back and pelvis | ||
S33.0XXA - S33.0XXS | Traumatic rupture of lumbar intervertebral disc | ||
S33.100A - S33.141S | Subluxation and dislocation of lumbar vertebra | ||
S33.2XXA - S33.2XXS | Dislocation of sacroiliac and sacrococcygeal joint | ||
S33.30XA – S33.39XS | Dislocation of other and unspecified parts of lumbar spine and pelvis | ||
S43.201A - S43.226S | Subluxation and dislocation of sternoclavicular joint | ||
846.0 | Sprain and strain of lumbosacral (joint) (ligament) | S33.8XXA - S33.8XXS | Sprain of other parts of lumbar spine and pelvis |
847.0 | Sprains and strains neck | S34.4XXA - S34.4XXS | Sprain of ligaments of cervical spine |
S13.8XXA - S13.8XXS | Sprain of joints and ligaments of other parts of neck | ||
S16.1XXA - S16.1XXS | Strain of muscle, fascia and tendon at neck level | ||
847.1 | Sprains and strains thoracic | S23.3XXA - S23.3XXS | Sprain of ligaments of thoracic spine |
S23.8XXA - S23.8XXS | Sprain of other specified parts of thorax | ||
847.2 | Sprains and strains lumbar | S33.5XXA - S33.5XXS | Sprain of ligaments of lumbar spine |
847.9 | Sprain and strain of unspecified site of back | S13.9XXA - S13.9XXS | Sprain of joints and ligaments of unspecified parts of neck |
S23.9XXA - S23.9XXS | Sprain of unspecified parts of thorax | ||
S33.9XXA - S33.9XXS | Sprain of unspecified parts of lumbar spine and pelvis | ||
874.9 | Open wound of other and unspecified parts of neck, complicated | S11.82XA - S11.82XS | Laceration with foreign body of other specified part of neck |
S11.84XA - S11.84XS | Puncture wound with foreign body of other specified part of neck | ||
S11.92XA - S11.92XS | Laceration with foreign body of unspecified part of neck | ||
S11.94XA - S11.94XS | Puncture wound with foreign body of unspecified part of neck | ||
905.1 | Late effect of fracture of spine and trunk without mention of spinal cord lesion | M48.40XA - M48.48XS | Fatigue fracture of vertebra |
M48.50XA - M48.58XS | Collapsed vertebra, not elsewhere classified | ||
M80.08XA - M80.08XS | Age-related osteoporosis with current pathological fracture, vertebra(e) | ||
M80.88XA - M80.88XS | Other osteoporosis with current pathological fracture, vertebra(e) | ||
S12.000A - S12.9XXS | Fracture of cervical vertebra and other parts of neck | ||
S22.000A - S22.9XXS | Fracture of rib(s), sternum and thoracic spine | ||
S32.000A - S32.9XXS | Fracture of lumbar spine and pelvis | ||
907.2 | Late effect of spinal cord injury | ||
925.2 | Crushing injury of neck | S17.0XXA - S17.9XXS | Crushing injury of neck |
926.11 | Crushing injury of back | S38.1XXA - S38.1XXS | Crushing injury of abdomen, lower back, and pelvis |
926.19 | Crushing injury of other specified sites of trunk | S28.0XXA - S28.0XXS | Crushed chest |
926.8 | Crushing injury of multiple sites of trunk | ||
926.9 | Crushing injury of unspecified site of trunk | ||
952.00 - 952.9 | Spinal cord injury without evidence of spinal bone injury | S14.0XXA - S14.0XXS | Concussion and edema of cervical spinal cord |
S14.101A - S14.159S | Other and unspecified injuries of cervical spinal cord | ||
S24.0XXA - S24.0XXS | Concussion and edema of thoracic spinal cord | ||
S24.101A - S24.159S | Other and unspecified injuries of thoracic spinal cord | ||
S34.01XA - S34.02XS | Concussion and edema of lumbar and sacral spinal cord | ||
S34.101A - S34.129S | Other and unspecified injury of lumbar and sacral spinal cord | ||
S34.3XXA - S34.3XXS | Injury of cauda equina | ||
953.0 - 953.9 | Injury to nerve roots and spinal plexus | S14.2XXA - S14.2XXS | Injury of nerve root of cervical spine |
S14.3XXA - S14.3XXS | Injury of brachial plexus | ||
S24.2XXA - S24.2XXS | Injury of nerve root of thoracic spine | ||
S34.21XA - S34.21XS | Injury of nerve root of lumbar spine | ||
S34.22XA - S34.22XS | Injury of nerve root of sacral spine | ||
S34.4XXA - S34.4XXS | Injury of lumbosacral plexus | ||
954.0 - 954.9 | Injury to other nerve(s) of trunk, excluding shoulder and pelvic girdles | S14.5XXA - S14.5XXS | Injury of cervical sympathetic nerves |
S24.3XXA - S24.3XXS | Injury of peripheral nerves of thorax | ||
S24.4XXA - S24.4XXS | Injury of thoracic sympathetic nervous system | ||
S24.8XXA - S24.8XXS | Injury of other specified nerves of thorax | ||
S24.9XXA - S24.9XXS | Injury of unspecified nerve of thorax | ||
S34.5XXA - S34.5XXS | Injury of lumbar, sacral and pelvic sympathetic nerves | ||
S34.6XXA - S34.6XXS | Injury of peripheral nerve(s) at abdomen, lower back and pelvis level | ||
S34.8XXA - S34.8XXS | Injury of other nerves at abdomen, lower back and pelvis level | ||
S34.9XXA - S34.9XXS | Injury of unspecified nerves at abdomen, lower back and pelvis level | ||
959.09 | Injury of face and neck, other and unspecified | S16.8XXA - S16.8XXS | Other specified injury of muscle, fascia and tendon at neck level |
S16.9XXA - S16.9XXS | Unspecified injury of muscle, fascia and tendon at neck level | ||
S19.80XA - S19.80XS | Other specified injuries of unspecified part of neck | ||
S19.82XA - S19.82XS | Other specified injuries of cervical trachea | ||
S19.85XA - S19.85XS | Other specified injuries of pharynx and cervical esophagus | ||
S19.89XA - S19.89XS | Other specified injuries of other specified part of neck | ||
S19.9XXA - S19.9XXS | Unspecified injury of neck | ||
V10.61 - V10.69 | Personal history of leukemia | Z85.6 | Personal history of leukemia |
V10.81 | Personal history of malignant neoplasm of bone | Z85.830 | Personal history of malignant neoplasm of bone |
V10.86 | Personal history of malignant neoplasm of other parts of nervous system | Z85.848 | Personal history of malignant neoplasm of other parts of nervous tissue |
V12.40 | Unspecified disorder of nervous system and sense organs | Z86.69 | Personal history of other diseases of the nervous system and sense organs |
V12.42 | Personal history of infections of the central nervous system | Z86.61 | Personal history of infections of the central nervous system |
V54.17 | Aftercare for healing traumatic fracture of vertebrae | ||
V54.19 | Aftercare for healing traumatic fracture of other bone | ||
V54.27 | Aftercare for healing pathologic fracture of vertebrae | ||
T85.733A - T85.733S | Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead) | ||
T85.735A - T85.735S | Infection and inflammatory reaction due to cranial or spinal infusion catheter | ||
T85.738A - T85.738S | Infection and inflammatory reaction due to other nervous system device, implant or graft | ||
T85.810A - T85.810S | Embolism due to other internal prosthetic devices, implants and grafts | ||
V54.29 | Aftercare for healing pathologic fracture of other bone | M80.00XD | Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with routine healing |
M80.00XG | Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing | ||
M80.80XD | Other osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with routine healing | ||
M80.80XG | Other osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing | ||
M84.30XD | Stress fracture, unspecified site, subsequent encounter for fracture with routine healing | ||
M84.30XG | Stress fracture, unspecified site, subsequent encounter for fracture with delayed healing | ||
M84.350D | Stress fracture, pelvis, subsequent encounter for fracture with routine healing | ||
M84.350G | Stress fracture, pelvis, subsequent encounter for fracture with delayed healing | ||
M84.38XD | Stress fracture, other site, subsequent encounter for fracture with routine healing | ||
M84.38XG | Stress fracture, other site, subsequent encounter for fracture with delayed healing | ||
M84.40XD | Pathological fracture, unspecified site, subsequent encounter for fracture with routine healing | ||
M84.40XG | Pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing | ||
M84.454D | Pathological fracture, pelvis, subsequent encounter for fracture with routine healing | ||
M84.454G | Pathological fracture, pelvis, subsequent encounter for fracture with delayed healing | ||
M84.48XD | Pathological fracture, other site, subsequent encounter for fracture with routine healing | ||
M84.48XG | Pathological fracture, other site, subsequent encounter for fracture with delayed healing | ||
M84.50XD | Pathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with routine healing | ||
M84.50XG | Pathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with delayed healing | ||
M84.550D | Pathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with routine healing | ||
M84.550G | Pathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with delayed healing | ||
M84.60XD | Pathological fracture in other disease, unspecified site, subsequent encounter for fracture with routine healing | ||
M84.60XG | Pathological fracture in other disease, unspecified site, subsequent encounter for fracture with delayed healing | ||
M84.650D | Pathological fracture in other disease, pelvis, subsequent encounter for fracture with routine healing | ||
M84.650G | Pathological fracture in other disease, pelvis, subsequent encounter for fracture with delayed healing | ||
M84.68XD | Pathological fracture in other disease, other site, subsequent encounter for fracture with routine healing | ||
M84.68XG | Pathological fracture in other disease, other site, subsequent encounter for fracture with delayed healing | ||
V67.00 | Follow-up examination, following unspecified surgery | Z09 | Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm |
V67.09 | Follow-up examination, following other surgery | ||
V67.4 | Treatment of healed fracture follow-up examination | ||
V67.1 V67.2 | Radiotherapy follow-up examination Chemotherapy follow-up examination | Z08 | Encounter for follow-up examination after completed treatment for malignant neoplasm |
Z09 | Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm | ||
V71.1 | Observation for suspected malignant neoplasm | Z03.89 | Encounter for observation for other suspected diseases and conditions ruled out |
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