Orthopedic Coding Alert

ICD-10 Update:

Look For Regions To Report Radiculopathy

Single ICD-9 code spans to four codes in ICD-10. Radiculopathy is site-specific for spinal regions in ICD-10. To ensure that your surgeon will be ready when the Oct. 1, 2013 deadline hits, you can reinforce the need for specific region notes in the documentation. Make sure your surgeon mentions the involvement of one or more cervical, thoracic, lumbar or sacral regions. Review Anatomical Locations The spine is divided into five regions, namely the cervical, thoracic, lumbar, sacral, and coccygeal regions. There are 33 vertebrae that encase the spinal cord. These include the 7 cervical (C1-C7), 12 thoracic (T1-T12), 5 lumbar (L1-L5), 5 sacral (S1-S5), and 4 coccygeal bones (Figure 1). The last two are fused together and the rest are separated by intervertebral spaces. The coccyx is also called the tail bone. The nerves emerge in the intervertebral spaces and the initial segment of the nerves close to the site [...]
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