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The Cervical Spine:
The MEDICARE listings for Subluxation (the 739 series):
739.0 Occipital joint restriction or Subluxation (Nonallopathic Lesion)
739.1 Cervical joint restriction or Subluxation (Nonallopathic Lesion)
739.2 Thoracic joint restriction or Subluxation (Nonallopathic Lesion)
739.3 Lumbar joint restriction or Subluxation (Nonallopathic Lesion)
739.4 Sacrum or Coccyx joint restriction or Subluxation (Nonallopathic Lesion)

739.5 Pelvic (Ilia or SI) Subluxation (Nonallopathic Lesion)
739.6 Lower extremities

Neck

723.1 Cervicalgia ____________________________________________________neck pain
722.0 Cervical Disc Disorder w/o Myelopathy_______________________________neck disc
722.71 Cervical Disc Disorder with Myelopathy
723.0 Cervical Spinal Stenosis (usually Disc-related)
728.4 Ligament laxity (observed on flexion/extension films)
723.2 Cervicocranial Syndrome (Barre-Lieou syndrome; Posterior cervical sympathetic syndrome)
723.3 Cervicobrachial Syndrome (diffuse)
723.4 Brachial Neuritis; Cervical Radiculitis; Radicular Syndrome of Upper Extremity
723.5 Torticollis; Contracture of Neck
722.4 Degeneration of Cervical Disc(s)
353.2 Cervical Nerve Root Lesion
724.9 Foraminal Encroachment (Compression) of Nerve Root, Cervical
722.81 Postlaminectomy Syndrome Of Cervical Region
354.1 Median Nerve Neuritis
354.2 Ulnar Nerve Lesion
354.3 Radial Nerve Lesion
719.08 Edema of Cervical Facet Joint
719.48 Arthralgia of Cervical Spine
719.58 Stiffness of Cervical Spine
847.0 Cervical Sprain/Strain or Whiplash_____________________________________Cx sprain
723.2 Cervicocranial Syndrome
351.0 Bell’s Palsy
723.8 Occipital Neuralgia
723.3 Cervicobrachial Syndrome
353.0 Thoracic Outlet Syndrome
726.1 Rotator Cuff Syndrome (non-billable)
726.10 Supraspinatus Syndrome
354.0 Carpal Tunnel Syndrome
524.6 TMJ Dysfunction Syndrome (non-billable)
847.0 Acute post-traumatic torticollis
333.83 Spasmodic Torticollis- This is generally due to hereditary CNS problems
or degenerative CNS problems.

The Thoracic Spine:

353.0 Brachial plexus lesions (TOS)
839.21 Subluxation of the Thoracic Vertebrae
722.11 Thoracic Disc Disorder w/o Myelopathy
722.72 Thoracic Disc Disorder with Myelopathy
722.51 Degeneration of Thoracic Disc(s)
724.9 Foraminal Encroachment (Compression) of Nerve Root, Thoracic
722.82 Postlaminectomy Syndrome Of Thoracic Region
353.3 Thoracic Nerve Root Lesion
724.4 Thoracic Or Lumbosacral Neuritis Or Radiculitis
719.08 Edema of Thoracic Facet Joint
847.1 Thoracic Sprain/Strain______________________________________Thx sprain
719.48 Arthralgia of Thoracic Spine
719.58 Stiffness of Thoracic Spine
737.30 Scoliosis and kyphoscoliosis, idiopathic

848.3 Sprain/strain of ribs_______________________________________Rib sprain

The Lumbar Spine:
839.20 Subluxation of the Lumbar Vertebrae
722.10 Lumbar Disc Disorder w/o Myelopathy___________________________Lx disc
722.73 Lumbar Disc Disorder with Myelopathy
722.52 Degeneration of Lumbar Disc(s)
738.4 Spondylolysis/Spondylolisthesis (Acquired)
756.12 Spondylolysis (Congenital)
756.11 Prespondylolisthesis (Congenital)
724.3 Sciatica; Neuralgia of Sciatic Nerve
724.9 Foraminal Encroachment (Compression) of Nerve Root, Lumbar
722.83 Postlaminectomy Syndrome Of Lumbar Region
724.4 Thoracic Or Lumbosacral Neuritis Or Radiculitis
353.4 Lumbosacral Nerve Root Lesion
719.08 Edema of Lumbar Facet Joint
847.2 Lumbar Sprain/Strain__________________________________________________Lx sprain
719.48 Arthralgia of Lumbar Spine
719.58 Stiffness of Lumbar Spine
724.2 Lumbago ___________________________________________________Lumbar pain

The Pelvis:
839.42 Subluxation of the Sacroiliac Joint
847.3 Sacrium Sprain/Strain look up
846.1 Sprains & strains of sacroiliac ligament or joint
_____________________________________SI sprain
353.1 Lumbosacral Plexus Lesion
720.2 Sacroilitis
719.08 Edema of Sacroiliac Joint
719.48 Arthralgia of Sacroiliac Joint
719.58 Stiffness of Sacroiliac Joint
839.41 Subluxation of the Coccyx
724.71 Hypermobility Of Coccyx
847.4 Coccyx Sprain/Strain
353.1 Lumbosacral Plexus Lesion

The Peripheral Joint Codes:
831.01 Anterior Subluxation of Humerus
831.02 Posterior Subluxation of Humerus
832.12 Subluxation of Elbow
833.03 Subluxation of Carpal Bone
836.53 Medial Subluxation of Tibia
836.54 Lateral Subluxation of Tibia
838.01 Subluxation of Tarsal Bone

NOTE: Look for the symptom listings below
Edema (719.00-.09 codes), Arthralgia (719.40-719.49), Stiffness (719.50-719.59) and Crepitus (718.60-719.69)

Sprains and Strains of Shoulder and Upper Arm:
840.0 Acromioclavicular (joint) (ligament)
840.1 Coracoclavicular (ligament)
840.2 Coracohumeral (ligament)
840.3 Infraspinatus (muscle) (tendon)_________________________________shoulder sprain
840.4 Rotator cuff (capsule)
840.5 Subscapularis (muscle)
840.6 Supraspinatus (muscle) (tendon)
726.1 Subscapularis tendinitis

726.10 Shoulder impingement
718.11 Labral tear shoulder/ Labrium tear
718.81GH instability in the shoulder
726.12 Bicipital Tenosynovitis
726.10 Disorder of bursae and tendons in shoulder region ( Rotator cuff sprain/strain) 831.00 Dislocation of shoulder unspecified, closed
726.0 Adhesive Capsulitis of Shoulder
726.11 Calcific Tendinitis of Shoulder
726.12 Bicipital Tenosynovitis

Elbow/Wrist

841.9 elbow sprain_______________________________________________________elbow sprain
726.31 Medical epicondylitis
726.32 Lateral epicondylitis
354.0 Carpal tunnel syndrome 726.32 Lateral epicondylitis 726.33 Olecranon bursitis 736.1 Osteoarthritis and allied disorders (OA hand, CMC, MCP) ;;; 832.00 Dislocation of elbow unspecified, closed;;;;; 813.42 Fracture of distal end of radius;;;;;; 842.00 Sprain of wrist, unspecified;;;;;; 727.03 Tenosynovitis hand & wrist ;;;;
727.63 Rupture extensor tendons of wrist/hand
727.49 Ganglion Cyst
354.2 Ulnar nerve lesion
Mallet finger 715.04 Trigger finger acquired);;;; 727.05

Contracture of palmar fascia ( Dupuytrens )

728.6

Contracture of joint ( finger contracture )

718.40

Fracture of humerus, upper end, closed, unspecified

812.00

Bursal cyst ( Ganglion cyst )

727.49

Sprain/strain of elbow and forearm

841.9

Colles' fracture

813.41

Fracture of metacarpal, unspecified, closed

815.00

Dislocation of finger, unspecified, closed

834.00

Lower Extremity Knee

Osteoarthritis localized pelvic region and thigh (Hip DJD/OA)

715.15

Strain/sprain of knee and leg, unspecified site

844.9

Osteoarthritis localized lower leg ( Knee DJD/OA ))

715.16

Other tear of cartilage or meniscus of knee

836.2

Enthesopathy of hip ( Trochanteric bursitis )

726.5

Strains & sprains of knee and leg, Cruciate Ligament (ACL/PCL sprain)

844.2

Chondromalacia of patella

717.7

Fracture of ankle unspecified, closed

824.8

Patellar tendonitis

726.64

Prepatellar Bursitis

726.65

Dislocation of hip, closed

835.00

General Osteoarthritis, unspecified

715.00

Sprain/strain of ankle, unspecified

845.00

Osteoarthritis localized, secondary

715.20

Pain in joint- ankle and foot (arthralgia)

719.47

Pain in joint- pelvic region and thigh (arthralgia)

719.45

Hallux Valgus-Aquired

735.0

Pain in joint- lower leg (arthralgia)

719.46

Hallux Valgus-Rigidus

735.2

Sprain/strain of foot, unspecified site

845.10

Sprain/strain of hip and thigh, unspecified sites

843.9

Calcaneal spur

726.73

Fracture of one or more tarsal bones (foot fracture)

825.20

Tibialis tendonitis

726.72

Mononeuritis of lower limb, lesion of plantar nerve ( Morton's neuroma )

355.6

Achilles bursitis or tendonitis

726.71

Juvenile osteochondrosis of lower extremity ( Osgood Schlatter )

732.4

Ankle enthesopathy (peroneal tendonitis)

726.79

Plantar fibromatosis (plantar fasciitis)

728.71

 

Various Other Codes:
733.1 Collapsed Vertebra (non-billable)
805.2 Compression Fracture
805.4 Compression Fracture Lumbar
381.00 Acute Nonsuppurative Otitis Media
381.10 Chronic Serous Otitis Media, Simple Or Unspecified
382.00 Acute Suppurative Otitis Media W/O Spontaneous Rupture Of Eardrum
724.9 Ankylosing Sponylitis (Ankylosis of Spine)
736.81 Acquired Unequal Leg Length
755.30 Congenital Unequal Leg Length
781.2 Abnormality of Gait (Ataxic, Paralytic, Spastic, Staggering)
719.7 Difficulty in Walking
781.3 Lack of Coordination
781.9 Abnormal Posture (nonbillable)
737.10 Kyphosis (Acquired)
737.20 Lordosis (Acquired)
738.2 Hypolordosis of the Cervical/Lumbar Spine (Acquired)
738.2 Reversal of the Cervical Curve
737.30 Scoliosis (Idiopathic)
715.9 Degenerative Joint Disease (Osteoarthritis) non-billable
715.95 Degenerative Joint Disease of the Hip
715.96 Degenerative Joint Disease of the Knee
715.09 Osteoarthrosis of Multiple Sites
716.9 Chronic Arthritis (non-billable)
734 Pes Planus, Acquired
754.61 Pes Planus, Congenital
736.41 Genu Valgus
733.0 Osteoporosis (non-billable)
733.01 Osteoporosis Senile
733.02 Osteoporosis Idiopathic

SYMPTOMS:________________________________________________pain
723.1 Cervicalgia
724.1 Thoracic Spine Pain
724.2 Lumbalgia
648.70 Pregnancy Backache

729.0 Fibromyalgia_________________________________________________Fibro

724.5 Vertebrogenic Pain Syndrome

726.90 Tendinitis/Capsulitis
727.00 Synovitis/Tenosynovitis
727.3 Bursitis

729.1 Myofascitis of Upper or Extremity Musculature

729.4 Fascitis

728.87 Muscle Weakness
728.85 Muscle Spasm
780.4 Dizziness
438.85 Vertigo
780.4 Dizziness And Giddiness/Light-headedness/Vertigo

780.5 Sleep Disturbance (nonbillable)
780.7 Fatigue (nonbillable)
787.2 Dysphagia (nonbillable)
784.5 Dysarthria/Dysphasia/Slurred speech
784.9 Choking Sensation
(nonbillable)
784.49 Hoarseness of Speech/Dysphonia/Hypernasality/Hyponasality
787.0 Nausea (nonbillable)

782.0 Paresthesia/Tingling/Burning/Prickling________________________________Abnormal nerve
354.8 Nerve Inflammation/Compression (Upper Limb)
443.0 Raynaud's Syndrome
354.4 Causalgia of Upper Limb
355.71 Causalgia of Lower Limb
355.9 Causalgia of (WHATEVER)
780.2 Syncope
905.6 Late Effects of Subluxation [Late effect of injury classifiable to 830-839]
905.7 Late Effects of Sprain or Strain

Specific Joint Symptoms

719.01 Edema of Acromioclavicular/Glenohumeral/Sternoclavicular
719.02 Edema of Elbow joint/Humerus
719.03 Edema of Wrist
719.06 Edema of Knee joint/Fibula/Patella/Tibia
719.07 Edema of Ankle/Foot Joints
719.08 Edema of Cervical Spine/Thoracic Spine/Lumbar Spine

719.41 Arthralgia of Shoulder
719.42 Arthralgia of Elbow
719.44 Arthralgia of Hand/Wrist
719.45 Arthralgia of Sacroiliac Joint
719.46 Arthralgia of Knee
719.47 Arthralgia of Ankle/Foot
719.48 Arthralgia of Cervical Spine/Thoracic Spine/Lumbar Spine

719.51 Stiffness of Shoulder
719.52 Stiffness of Elbow
719.53 Stiffness of Hand/Wrist
719.55 Stiffness of Sacroiliac Joint
719.56 Stiffness of Knee Joint
719.57 Stiffness of Ankle/Foot
719.58 Stiffness of Cervical Spine/Thoracic Spine/Lumbar Spine

719.61 Crepitus of Shoulder
719.62 Crepitus of Elbow
719.64 Crepitus of Hand/Wrist
719.65 Crepitus of Sacroiliac Joint
719.66 Crepitus of Knee
719.67 Crepitus of Ankle/Foot
719.68 Crepitus of Cervical Spine/Thoracic Spine/Lumbar Spine

Headaches

307.81 Tension Headache__________________________________________________HA
Cluster Headaches And Other Trigeminal Autonomic Cephalgias
339.00 Cluster headache syndrome, unspecified
339.01 Episodic cluster headache
339.05 Short-lasting unilateral neuralgiform headache with
conjunctival injection and tearing
339.09 Other trigeminal autonomic cephalgias
Tension Type Headache
339.10 Tension-type headache, unspecified
339.11 Episodic tension-type headache
339.12 Chronic tension-type headache
Post-traumatic Headache
339.20 Posttraumatic headache, unspecified
339.21 Acute posttraumatic headache
339.22 Chronic posttraumatic headache
339.30 Drug-induced headache, not elsewhere classified

Migraines
Migraine with aura (Classical Migraine)
346.00 Migraine with aura without mention of intractable
Migraine without mention of status Migrainosus
346.01 Migraine with aura with intractable Migraine, so stated,
without mention of status migrainosus
346.02 Migraine with aura without mention of intractable migraine
with status migrainosus
346.03 Migraine with aura with intractable migraine,
so stated, with status migrainosus

Migraine without aura
346.10 Migraine without aura without mention of intractable Migraine ______________Migraine
without mention of status Migrainosus

346.11 Migraine without aura with intractable Migraine, so stated,
without mention of status migrainosus
346.12 Migraine without aura without mention of intractable migraine
with status migrainosus
346.13 Migraine without aura with intractable migraine,
so stated, with status migrainosus

Variants Of Migraine, not elsewhere classified
346.20 Variants Of Migraine, not elsewhere classified without mention
of intractable Migraine without mention of status Migrainosus
346.21 Variants Of Migraine, not elsewhere classified with intractable
Migraine, so stated, without mention of status migrainosus
346.22 Variants Of Migraine, not elsewhere classified without mention
of intractable migraine with status migrainosus
346.23 Variants Of Migraine, not elsewhere classified with intractable
migraine, so stated, with status migrainosus
346.3 Hemiplegic Migraine (nonbillable)
Menstrual Migraine
346.40 Menstrual Migraine without mention of intractable Migraine
without mention of status Migrainosus
346.41 Menstrual Migraine with intractable Migraine, so stated,
without mention of status migrainosus
34 6.42 Menstrual Migraine without mention of intractable migraine
with status migrainosus
346.43 Menstrual Migraine with intractable migraine, so stated,
with status migrainosus
346.5 Persistent Migraine Aura Without Cerebral Infarction (nonbillable)
346.6 Persistent Migraine Aura With Cerebral Infarction (nonbillable)
Chronic Migraine Without Aura
346.70 Chronic Migraine Without Aura without mention of
intractable Migraine without mention of status Migrainosus
346.71 Chronic Migraine Without Aura with intractable Migraine,
so stated, without mention of status migrainosus
346.72 Chronic Migraine Without Aura without mention of
intractable migraine with status migrainosus
346.73 Chronic Migraine Without Aura with intractable migraine,
so stated, with status migrainosus
346.8 Other forms of migraine (nonbillable)
346.9 Migraine, unspecified (nonbillable) Please refer to FlashCode

Post-Laminectomy Syndrome or Failed back surgery
722.8, 722.80, 722.81, 722.82, 722.83, 737.12

722.80 Post-surgical spine syndrome, unspecified region

722.81 Post-surgical spine syndrome, cervical region

722.82 Post-surgical spine syndrome, thoracic region

722.83 Post-surgical spine syndrome, lumbar region

 

Fractures

Spine Fx

  • 805.10 Cx fracture
  • 805.2 Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury convert
  • 805.4 Closed fracture of lumbar vertebra without mention of spinal cord injury convert
  • 805.5 Open fracture of lumbar vertebra without mention of spinal cord injury convert
  • 805.6 Closed fracture of sacrum and coccyx without mention of spinal cord injury convert
  • 805.7 Open fracture of sacrum and coccyx without mention of spinal cord injury convert
  • 805.8 Closed fracture of unspecified vertebral column without mention of spinal cord injury convert
  • 805.9 Open fracture of unspecified vertebral column without mention of spinal cord injury

810.02 Closed fracture of shaft of clavicle

  • 813.00 Closed fracture of upper end of forearm, unspecified
  • 813.01 Closed fracture of olecranon process of ulna
  • 813.02 Closed fracture of coronoid process of ulna
  • 813.03 Closed Monteggia's fracture
  • 813.04 Other and unspecified closed fractures of proximal end of ulna (
  • 813.05 Closed fracture of head of radius
  • 813.06 Closed fracture of neck of radius
  • 813.07 Other and unspecified closed fractures of proximal end of radius (alone)
  • 813.08 Closed fracture of radius with ulna, upper end [any part]
  • 814.00 Closed fracture of carpal bone, unspecified
  • 814.01 Closed fracture of navicular [scaphoid] bone of wrist
  • 814.02 Closed fracture of lunate [semilunar] bone of wrist
  • 814.03 Closed fracture of triquetral [cuneiform] bone of wrist
  • 814.04 Closed fracture of pisiform bone of wrist
  • 814.05 Closed fracture of trapezium bone [larger multangular] of wrist
  • 814.06 Closed fracture of trapezoid bone [smaller multangular] of wrist
  • 814.07 Closed fracture of capitate bone [os magnum] of wrist
  • 814.08 Closed fracture of hamate [unciform] bone of wrist
  • 814.09 Closed fracture of other bone of wrist
  • 815 Fracture of metacarpal bone(s)
  • 816 Fracture of one or more phalanges of hand
  • 817 Multiple fractures of hand bones
  • 818 Ill-defined fractures of upper limb
  • 819 Multiple fractures involving both upper limbs and upper limb with rib(s) and sternum
  • 820 Fracture of neck of femur
  • 821 Fracture of other and unspecified parts of femur
  • 822 Fracture of patella
  • 823 Fracture of tibia and fibula
  • 824 Fracture of ankle
  • 825 Fracture of one or more tarsal and metatarsal bones
  • 826 Fracture of one or more phalanges of foot
  • 827 Other multiple and ill-defined fractures of lower limb
  • 828 Multiple fractures involving both lower limbs lower with upper limb and lower limb(s) with rib(s) and sternum
  • 829 Fracture of unspecified bones

 

EXTERNAL CAUSES OF INJURY (The "E" Codes):
Motor Vehicle Traffic Accident Involving Collision With Other Vehicle
E813.0 Motor Vehicle Collision w/ Another Vehicle (Injuring Driver)
E813.1 Motor Vehicle Collision w/ Another Vehicle (Injuring Passenger)
E813.7 Motor Vehicle Collision w/ Another Vehicle (Injuring Pedestrian)
Please review the other vehicle accident codes at FlashCode

Accidental Fall On or From Stairs or Steps
E880.0 Accidental Fall On Or From Escalator
E880.1 Accidental Fall On Or From Sidewalk Curb
E880.9 Accidental Fall On Or From Other Stairs Or Steps

Fall On Same Level From Slipping, Tripping, Or Stumbling
E885.9 Fall From Other Slipping, Tripping, Or Stumbling

Fall On Same Level From Collision, Pushing, Or Shoving, By or With Other Person
E886.0 Fall On Same Level From Collision, Pushing, or Shoving, In Sports
E886.9 Fall from collision of pedestrian with another pedestrian (conveyance)

Other And Unspecified Accidental Fall
E888.0 Fall Resulting In Striking Against Sharp Object
E888.1 Fall Resulting In Striking Against Other Object
E888.8 Other Fall

E916 Struck Accidently by Falling Object Please refer to FlashCode

Striking Against Or Struck Accidentally By Objects Or Persons
E917.0 Striking Against Or Struck Accidentally By Objects or Persons In Sports
E917.7 Striking Against Or Struck Accidentally by Furniture with Subsequent Fall
E917.8 Striking Against Or Struck Accidentally (Fall in Bathtub)

Overexertion And Strenuous And Repetitive Movements Or Loads
E927.0 Overexertion From Sudden Strenuous Movement. Sudden trauma from strenuous movement
E927.1 Overexertion From Prolonged Static Position
E927.2 Excessive Physical Exertion From Prolonged Activity
E927.3 Cumulative Trauma From Repetitive Motion

Late Effects Of Accidental Injury
E929.0 Late Effects Of Motor Vehicle Accident
E929.3 Late Effects Of Accidental Fall

Back surgery

pt had back surgery v45.4

General physical examination

V70.0

Medical Management

278.00 Obesity

require another code

280.0-289.9 Diseases of the blood

require another code

300.00 Anxiety and somatogorm disorders

require another code

311 depressive

require another code

330.0 Hereditary CNS disorder

340 other CNS disorder

365.00 Glaucoma

require another code

389.00 Hearing loss

require another code

401.0 Hypertensive

require another code

420.0 Other forms of heart disease

require another code

440.0- Disease of arteries

require another code

465.0 Acute respiratory infections

require another code

480.0-486 Pneumonia

584.5 Renal failure require another code

 

590.00 other diseases of urninary system

require another code

Congetial conplcation

756.11 Congenital spondylolysis lumbosacral region

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