Get ready for multiple diagnosis choices.
Choosing your diagnosis code for radiculopathy will get site-specific when ICD-10 becomes effective in October 2014. Start educating your providers now to document which of the spinal regions was treated to ensure that you’re ready for expanded code options.
Remember Your Spinal Regions
The spine is divided into five regions, with a total of 33 vertebrae. The vertebrae in the two lower regions (sacral and coccygeal) are fused together, but vertebrae in the rest are each separated by intervertebral spaces.
Many different conditions can cause spinal nerves to become inflamed, compressed, or suffer a compromise in blood supply. This leads to a type of neuropathy in one or more spinal segments known as radiculopathy.
Terminology check: Radiculitis is inflammation of a spinal nerve root, especially of the portion of the root that lies between the spinal cord and the spinal canal. Radiculopathy is defined as disease of the nerve roots, and radicular pain manifests along the pathway of a spinal nerve.
Get Specific Documentation for Code Switches
ICD-9 includes two codes for radiculopathy:
Having only have two diagnosis choices means that providers currently might not specify many anatomic-specific details in their documentation. That will change with ICD-10, when each of the two current codes will expand to multiple options.
Cervical changes: Instead of having a single diagnosis code for cervical radiculopathy, you’ll have one code specifically for C0-C1 and C1-C2 (M54.11 Radiculopathy, occipito-atlanto-axial region), one code for cervical (M54.12, Radiculopathy, cervical region) and another for cervicothoracic (M54.13, Radiculopathy, cervicothoracic region). If your physician documents cervical disc disorder (such as intervertebral disc displacement, degeneration, or disease) with radiculopathy, you’ll have even more choices:
Thoracic/Lumbar/Sacral changes: Diagnosis 724.4 gets more specific under ICD-10 with individual codes for spinal regions. Your basic code choices will be:
Again, you’ll have additional choices for intervertebral disc disorders with radiculopathy, distinguished by anatomic site:
Note: Even with the extra choices, you won’t have a specific code under ICD-10 for intervertebral disc disorder with radiculopathy in the sacral and sacrococcygeal region. The L5-S1 intervertebral level will be the lowest level with a disc.