Primary Care Coding Alert
Neck Pain Makes Easy Shift from 723.1 to M54.2
Good news: You won’t need to learn a new descriptor for ICD-10.
Family physicians often see patients who complain of neck pain. It’s a simple condition to code under ICD-9 with 723.1 (Cervicalgia).
Your choice will remain easy when ICD-10 goes into effect in October 2014, because you’ll simply switch to M54.2 (Cervicalgia). Diagnosis M54.2 falls under the category “Other Dorsopathies; Dorsalgia.” Note that M54.2 does not apply to cervicalgia due to intervertebral cervical disc disorder. For those situations, ICD-10 directs you to the M50 (Cervical disc disorders) code family.
Coding tip: Don’t fall into the trap of reporting neck pain (or pain in any of the spinal regions) with one of the joint pain codes from ICD-9. Coding options in that group pinpoint joint pain in the shoulder region (719.41), upper arm (719.42), pelvic region and thigh (719.45), and other anatomic regions. A “pain in joint” choice, however, isn’t as accurate for neck pain as 723.1.
Document it: The biggest factor in correctly coding neck pain is knowing the anatomic site. Ensure that your providers always specify the site, so you can report a detailed code whenever possible.
Primary Care Coding Alert
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