Neurology & Pain Management Coding Alert

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Payer Policy Drives ICD-10 Codes for Discography, Disc Decompression

Remember to check with each payer for approved diagnoses.

When your provider performs a discography or a disc decompression, CPT® coding and ICD-10 coding go hand in hand.

Why? Many payers will have their own specific sets of diagnosis codes that are acceptable when reporting codes for discography/disc decompression.

Check out this list of commonly reported ICD-10 codes for your discography/disc decompression claims. Remember that this is only a partial list, and it might not apply to every payer in every situation. Be sure to check your payer contracts, national coverage determinations (NCDs), or local coverage determinations (LCDs) for the most accurate information on ICD-10 codes for these procedures.

Remember These Codes for 62287

When your provider performs a disc decompression, you’ll report 62287 (Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar).

Some diagnosis codes you might find yourself using with 62287 include:

G83.4 (Cauda equina syndrome)

  • G95.0 (Syringomyelia and syringobulbia)
  • M43.10 (Spondylolisthesis, site unspecified) through M43.19 (Spondylolisthesis, multiple sites in spine)
  • M47.011 (Anterior spinal artery compression syndromes, occipito-atlanto-axial region) through
  • M47.27 (Other spondylosis with radiculopathy, lumbosacral region)
  • M48.00 (Spinal stenosis, site unspecified) through M48.05 (Spinal stenosis, thoracolumbar region)
  • M48.061 (Spinal stenosis, lumbar region without neurogenic claudication) through M48.08 (Spinal stenosis, sacral and sacrococcygeal region)
  • Q06.8 (Other specified congenital malformations of spinal cord)
  • Q76.2 (Congenital spondylolisthesis)
  • Q06.0 (Amyelia) through Q06.3 (Other congenital cauda equina malformations)
  • Q06.8 (Other specified congenital malformations of spinal cord) through Q06.9 (Congenital malformation of spinal cord, unspecified)
  • S23.100- (Subluxation of unspecified thoracic vertebra)
  • S23.110- (Subluxation of T1/T2 thoracic vertebra)
  • S23.120- (Subluxation of T2/T3 thoracic vertebra)
  • S23.122- (Subluxation of T3/T4 thoracic vertebra)
  • S23.130- (Subluxation of T4/T5 thoracic vertebra)

Consider These Codes for Discographies

There are two separate sets of codes for discographies, depending on the part of the spine your provider treats:

  • For lumbar discographies, report 62290 (Injection procedure for discography, each level; lumbar) and 72295 (Discography, lumbar, radiological supervision and interpretation).
  • For cervical/thoracic discographies, report 62291 (… cervical or thoracic) and 72285 (Discography, cervical or thoracic, radiological supervision and interpretation).

Some diagnosis codes you might find yourself using with 62290/72295 and 62291/72285 include:

  • M43.06 (Spondylolysis, lumbar region) through M43.07 (Spondylolysis, lumbosacral region)
  • M43.16 (Spondylolisthesis, lumbar region) through M43.17 (Spondylolisthesis, lumbosacral region)
  • M51.06 (Intervertebral disc disorders with myelopathy, lumbar region)
  • M54.30 (Sciatica, unspecified side) through M54.42 (Lumbago with sciatica, left side)
  • M96.1 (Postlaminectomy syndrome, not elsewhere classified)
  • S33.100- (Subluxation of unspecified lumbar vertebra) through S33.141- (Subluxation and dislocation of L4/L5 lumbar vertebra).


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