Presentation is loading. Please wait.

Presentation is loading. Please wait.

ICD-10-CM codes M00-M99 ICD-10-CM Guidelines for Coding & Reporting, Section I.C.13 1© Kathleen Peterson, MS, RHIA, CCS.

Similar presentations


Presentation on theme: "ICD-10-CM codes M00-M99 ICD-10-CM Guidelines for Coding & Reporting, Section I.C.13 1© Kathleen Peterson, MS, RHIA, CCS."— Presentation transcript:

1 ICD-10-CM codes M00-M99 ICD-10-CM Guidelines for Coding & Reporting, Section I.C.13 1© Kathleen Peterson, MS, RHIA, CCS

2  R25 Abnormal involuntary movements ◦ Cramp and spasm  R26 Abnormalities of gait and mobility  R27 Other lack of coordination  R29.6 Repeated falls ◦ Z91.81 History of falling, At risk for falling  R Loss of height  R Ocular torticollis © Kathleen Peterson, MS, RHIA, CCS2

3  Official Coding Guidelines, I.C.13.a-d  Conditions coded to this chapter include ◦ M1a Chronic Gout ◦ M 10 Gout ◦ M30 Polyarteritis nodosa ◦ M26 Dentofacial anomalies, including malocclusion ◦ M27 Diseases of jaw ◦ M84.3- Stress fractures ◦ M84.4- through M84.6- Pathological fractures ◦ Bone, joint or muscle conditions that are recurrent or resulting from a healed injury © Kathleen Peterson, MS, RHIA, CCS 3

4  I.C.13.a. Site and laterality ◦ Site represents bone, joint or muscle involved ◦ Some conditions may have a code for “multiple sites”  M10.09 Idiopathic gout, multiple sites ◦ If category does not have “multiple sites” code, then assign codes to indicate different sites  M24.4- Recurrent dislocation of joint ◦ Bone vs. joint: Although bone affected may be at the joint, the site designation will be the bone.  M Idiopathic aseptic necrosis of radius, ulna, and carpus © Kathleen Peterson, MS, RHIA, CCS4

5  I.C.13.b. Acute traumatic vs. chronic or recurrent musculoskeletal condition ◦ Any current, acute injury is coded to Chapter 19, Injury  S83.014A Lateral dislocation of right patella, initial episode ◦ Bone, joint or muscle conditions that result from healed injury or are recurrent are usually found in Chapter 13, Musculoskeletal system  M22.11 Recurrent incomplete dislocation of right knee ◦ If documentation is unclear whether acute vs. chronic or recurrent condition, query the provider. © Kathleen Peterson, MS, RHIA, CCS5

6  Joint Derangement ◦ Recurrent – see Derangement, joint, recurrent ◦ Due to current injury – see Derangement, joint, current injury and Derangement, joint  Joint replacement ◦ Assign code for disease process resulting in joint replacement ◦ Assign Z96.6- for orthopedic joint replacement on subsequent admissions 6© Kathleen Peterson, MS, RHIA, CCS

7  ICD-10-CM coding guideline I.C.13.c  Bone structure is weakened due to disease process ◦ Osteoporosis, osteomalacia, osteomyelitis, or neoplasm  Review physician documentation ◦ Trauma fracture are coded to Injuries ◦ Pathological fracture  M80, M84.4-, M84.5-, M84.6-  7 th characters are required to show initial, subsequent or sequela ◦ Stress fracture  repetitive force  see M84.3-  Use additional external cause code(s) to identify cause of stress fracture  Example: Y93.01, Activity walking, marching and hiking 7© Kathleen Peterson, MS, RHIA, CCS

8  Identify sites: pelvis, extremities, vertebrae ◦ Stress fractures of vertebrae are termed “fatigue fractures”.  Identify episode of care with 7 th character ◦ Initial, subsequent, sequela  M84.311A Stress fracture, right shoulder, initial episode  M48.42xB Fatigue fracture of vertebra, cervical region, subsequent encounter for routine healing © Kathleen Peterson, MS, RHIA, CCS8

9 AInitial encounter for fracture Active treatment: surgical treatment, ED encounter, evaluation & treatment by new MD DSubsequent encounter for fracture with routine healing Code use for fracture aftercare - change or remove cast, remove external or internal fixation device, medication adjustment, follow-up visits following fracture treatment) GSubsequent encounter for fracture with delayed healing KSubsequent encounter for fracture with nonunion PSubsequent encounter for fracture with malunion SSequela © Kathleen Peterson, MS, RHIA, CCS 9

10  M66 Spontaneous rupture of synovium and tendon ◦ NOTE A spontaneous rupture is one that occurs when a normal force is applied to tissues that are inferred to have less than normal strength.  M80 Osteoporosis with current pathological fracture ◦ NOTE Fragility fracture is defined as a fracture sustained with trauma no more than a fall from a standing height or less that occurs under circumstances that would not cause a fracture in a normal healthy bone. © Kathleen Peterson, MS, RHIA, CCS 10

11  ICD-10-CM coding guideline I.C.13.d.  M81.- Osteoporosis without current pathological fracture ◦ Assign code even if patient has had fracture in past  Z87.310, Personal hx of (healed) osteoporosis fracture, is also assigned with M81.-  M80.- Osteoporosis with current pathological fracture ◦ Assign code for patients with current pathological fracture at time of encounter  Assign code to identify fracture site  Use for patients with osteoporosis who suffer a fracture, even if it was a minor fall or trauma, that would not usually break a normal, healthy bone. © Kathleen Peterson, MS, RHIA, CCS11

12  Includes kyphoscoliosis  Types ◦ Idiopathic  Infantile (birth through age 4)  Juvenile (ages 5 through 10)  Adolescent (ages 11 through 17) ◦ Secondary  Neuromuscular or other ◦ Thoracogenic ◦ Other form ◦ Unspecified  Identify site: cervical, cervicothoracic, thoracic, thoracolumbar, lumbar, lumbosacral, sacral/sacrococcygeal, unspecified © Kathleen Peterson, MS, RHIA, CCS12

13 Assign ICD-10-CM codes for: 1. Cervical spondylosis, C5-6, C Deformity of left ring finger, due to old flexor tendon laceration 3. Right hallux valgus © Kathleen Peterson, MS, RHIA, CCS13


Download ppt "ICD-10-CM codes M00-M99 ICD-10-CM Guidelines for Coding & Reporting, Section I.C.13 1© Kathleen Peterson, MS, RHIA, CCS."

Similar presentations


Ads by Google