troupe327
Guest
Hi there. I am a new coder, radiology diagnostic coding and I am looking at coding clinic to help me address how to code Intervertebral disc (IV Disc) disorders. I have a patient who has IV disc bulging at the cervical as well as the lumbar spine.
when I search "Bulging" in coding clinic, Fusion information comes up mentioning bulging disc with herniated disc in the same sentence but nothing beyond that.
I did some other research and found the American Journal of Neuro-Radiology on the nomenclature reporting which addresses some ideas about "disc bulging". it states,
"Translation of the disc nomenclature recommended here into ICD-9-CM codes presents relatively little difficulty. Discs characterized herein as "herniated" should be coded under 722.0, 722.10, 722.11, or 722.2. A disc described as "bulging" without further specification as to the cause of the bulging should not be coded as a displacement, but, like other observations of uncertain significance as 722.9 "other and unspecified disc disorder" or as 793.7, "nonspecific abnormal findings on radiographic examination" (musculoskeletal)."
http://www.asnr.org/spine_nomenclature/reporting.shtml
Any Thoughts on whether bulging is under herniated or disc disorder?
Leia
when I search "Bulging" in coding clinic, Fusion information comes up mentioning bulging disc with herniated disc in the same sentence but nothing beyond that.
I did some other research and found the American Journal of Neuro-Radiology on the nomenclature reporting which addresses some ideas about "disc bulging". it states,
"Translation of the disc nomenclature recommended here into ICD-9-CM codes presents relatively little difficulty. Discs characterized herein as "herniated" should be coded under 722.0, 722.10, 722.11, or 722.2. A disc described as "bulging" without further specification as to the cause of the bulging should not be coded as a displacement, but, like other observations of uncertain significance as 722.9 "other and unspecified disc disorder" or as 793.7, "nonspecific abnormal findings on radiographic examination" (musculoskeletal)."
http://www.asnr.org/spine_nomenclature/reporting.shtml
Any Thoughts on whether bulging is under herniated or disc disorder?
Leia