HEAD, JAW AND NECK HEADACHE M53.0 Cervicocranial Syndrome R51 Headache (excludes migraine and other headache syndromes) G44.209 Tension-type headache, unspecified, not intractable G44.309 Post-traumatic headache, unspecified, not intractable F07.81 Post-concussion headache JAW R68.84 Jaw pain M26.60 Temporomandibular joint disorder, unspecified CERVICAL SPINE X-RAY FINDINGS M50.31 Other cervical disc degeneration, high cervical region M50.32 Other cervical disc degeneration, mid-cervical region M50.33 Other cervical disc degeneration, cervicothoracic region M40.202 Unspecified kyphosis, cervical region M47.812 Spondylosis without myelopathy or radiculopathy, cervical region M47.813 Spondylosis without myelopathy or radiculopathy, cervicothoracic region M41.22 Other idiopathic scoliosis, cervical region M41.23 Other idiopathic scoliosis, cervicothoracic region M48.02 Spinal stenois, cervical region M48.03 Spinal stenosis, cervicothoracic region 1 P a g e
NECK PAIN WITHOUT RADICULOPATHY S16.1xxA Strain of muscle, fascia and tendon at neck level, Initial Encounter S16.1xxD Strain of muscle, fascia and tendon at neck level, Subsequent Encounter S16.1xxS Strain of muscle, fascia and tendon at neck level, Sequela M54.2 Cervicalgia, excluding cervicalgia due to intervertebral disc disorder M43.6 Torticollis M99.01 Segmental and somatic dysfunction of cervical region (Medicare) NECK PAIN WITH RADICULOPATHY M50.11 Cervical disc disorder with radiculopathy, high cervical region M50.12 Cervical disc disorder with radiculopathy, mid-cervical region M50.13 Cervical disc disorder with radiculopathy, cervicothoracic region CERVICAL LIGAMENT DAMAGE S13.4xxA S13.4xxD S13.4xxS Cervical Sprain, Initial Encounter Cervical Sprain, Subsequent Encounter Cervical Sprain, Sequela 2 P a g e
CERVICAL SPINE MEDICAL SUBLUXATIONS (Hypermobile) S13.110A S13.110D S13.110S S13.120A S13.120D S13.120S S13.130A S13.130D S13.130S S13.140A S13.140D S13.140S S13.150A S13.150D S13.150S S13.160A S13.160D S13.160S S13.170A S13.170D S13.170S S13.180A S13.180D S13.180S Subluxation of C0/C1 vertebrae, Initial Encounter Subluxation of C0/C1 vertebrae, Subsequent Encounter Subluxation of C0/C1 vertebrae, Sequela Subluxation of C1/C2 vertebrae, Initial Encounter Subluxation of C1/C2 vertebrae, Subsequent Encounter Subluxation of C1/C2 vertebrae, Sequela Subluxation of C2/C3 vertebrae, Initial Encounter Subluxation of C2/C3 vertebrae, Subsequent Encounter Subluxation of C2/C3 vertebrae, Sequela Subluxation of C3/C4 vertebrae, Initial Encounter Subluxation of C3/C4 vertebrae, Subsequent Encounter Subluxation of C3/C4 vertebrae, Sequela Subluxation of C4/C5 vertebrae, Initial Encounter Subluxation of C4/C5 vertebrae, Subsequent Encounter Subluxation of C4/C5 vertebrae, Sequela Subluxation of C5/C6 vertebrae, Initial Encounter Subluxation of C5/C6 vertebrae, Subsequent Encounter Subluxation of C5/C6 vertebrae, Sequela Subluxation of C6/C7 vertebrae, Initial Encounter Subluxation of C6/C7 vertebrae, Subsequent Encounter Subluxation of C6/C7 vertebrae, Sequela Subluxation of C7/T1 vertebrae, Initial Encounter Subluxation of C7/ T1 vertebrae, Subsequent Encounter Subluxation of C7/ T1 vertebrae, Sequela 3 P a g e
THORACIC SPINE Thoracic Pain M54.6 Pain in thoracic spine M62.830 Muscle spasm of back (thoracic) M99.02 Segmental and somatic dysfunction of thoracic region - Medicare S29.012A S29.012D S29.012S S23.3xxA S23.3xxD S23.3xxS Strain of muscle and tendon of back wall of thorax, Initial Encounter Strain of muscle and tendon of back wall of thorax, Subsequent Encounter Strain of muscle and tendon of back wall of thorax, Sequela Sprain of ligaments of thoracic spine, Initial Encounter Sprain of ligaments of thoracic spine, Subsequent Encounter Sprain of ligaments of thoracic spine, Sequela Encounter Thoracic X-ray Findings M51.34 Other intervertebral disc degeneration, thoracic region M51.35 Other intervertebral disc degeneration, thoracolumbar region M47.814 Spondylosis without myelopathy or radiculopathy, thoracic region M41.24 Other idiopathic scoliosis, thoracic region M41.25 Other idiopathic scoliosis, thoracolumbar region 4 P a g e
LUMBAR SPINE Low Back Pain w/out Radiculopathy S39.012A S39.012D S39.012S S33.5xxA S33.5xxD S33.5xxS Strain of muscle, fascia and tendon of low back, Initial Encounter Strain of muscle, fascia and tendon of low back, Subsequent Encounter Strain of muscle, fascia and tendon of low back, Sequela Sprain of ligaments of lumbar spine, Initial Encounter Sprain of ligaments of lumbar spine, Subsequent Encounter Sprain of ligaments of lumbar spine, Sequela M54.5 Low back pain M62.830 Muscle spasm of back (lumbar) M99.03 Segmental and somatic dysfunction of lumbar region Medicare M99.04 Segmental and somatic dysfunction of sacral region Medicare M99.05 Segmental and somatic dysfunction of pelvic region Medicare 5 P a g e
LUMBAR SPINE (continued) Low Back X-Ray Findings M51.36 Other intervertebral disc degeneration, lumbar region M51.37 Other intervertebral disc degeneration, lumbosacral region M47.816 Spondylosis without myelopathy or radiculopathy, lumbar region M47.817 Spondylosis without myelopathy or radiculopathy, lumbosacral region M41.26 Other idiopathic scoliosis, lumbar region M41.27 Other idiopathic scoliosis, lumbosacral region M43.16 Spondylolisthesis, lumbar region M43.17 Spondylolisthesis, lumbosacral region M48.06 Spinal stenosis, lumbar region M48.07 Spinal stenosis, lumbosacral region Lumbar Disc With Radiculopathy M54.41 Lumbago with sciatica, right side M54.42 Lumbago with sciatica, left side M54.31 Sciatica, right side (excludes low back pain) M54.32 Sciatica, left side (excludes low back pain) M54.16 Radiculopathy, lumbar region M54.17 Radiculopathy, lumbosacral region G57.11 Meralgia paresthetica, right lower limb G57.12 Meralgia paresthetica, left lower limb 6 P a g e
UPPER EXTREMITIES Shoulder S46.911A S46.911D S46.911S S46.912A S46.912A S46.912A upper arm level, right arm, Initial Encounter upper arm level, right arm, Subsequent Encounter upper arm level, right arm, Sequela upper arm level, left arm, Initial Encounter upper arm level, left arm, Subsequent Encounter upper arm level, left arm, Sequela M99.07 Segmental and somatic dysfunction of upper extremity (shoulder) M25.511 Pain in right shoulder M25.512 Pain in left shoulder M75.21 Bicipital Tendinitis, right shoulder M75.22 Bicipital Tendinitis, left shoulder M75.11 Rotator cuff syndrome, right shoulder M75.12 Rotator cuff syndrome, left shoulder M75.01 Adhesive capsulitis of right shoulder M75.02 Adhesive capsulitis of left shoulder 7 P a g e
UPPER EXTREMITIES (continued) Elbow M99.07 Segmental and somatic dysfunction of upper extremity (elbow) M25.521 Pain in right elbow M25.522 Pain in left elbow M77.11 Lateral epicondylitis, right elbow M77.12 Lateral epicondylitis, left elbow M77.01 Medial epicondylitis, right elbow M77.02 Medial epicondylitis, left elbow Wrist M99.07 Segmental and somatic dysfunction of upper extremity (wrist) M25.531 Pain in right wrist M25.532 Pain in left wrist G56.01 Carpal tunnel syndrome, right upper limb G56.02 Carpal tunnel syndrome, left upper limb 8 P a g e
LOWER EXTREMITIES M99.06 Segmental and somatic dysfunction of lower extremity (hip) M25.551 Pain in right hip M25.552 Pain in left hip Hip Knee M99.06 Segmental and somatic dysfunction of lower extremity (knee) M25.561 Pain in right knee M25.562 Pain in left knee Ankle M99.06 Segmental and somatic dysfunction of lower extremity (ankle) M25.571 Pain in right ankle M25.572 Pain in left ankle OTHER DIAGNOSES H93.11 Tinnitus, right ear H93.12 Tinnitus, left ear H93.13 Tinnitus, bilateral ears G47.9 Sleep disorder, unspecified R42 Dizziness and giddiness 9 P a g e
MOTOR VEHICLE COLLISIONS Driver V43.52xA V43.52xD V43.52xS V43.51xA V43.51xD V43.51xS V43.53xA V43.53xD V43.53xS V43.54xA V43.54xD V43.54xS Car driver injured in collision with other type car in traffic accident, Initial Encounter Car driver injured in collision with other type car in traffic Car driver injured in collision with other type car in traffic Car driver injured in collision with sport utility vehicle in traffic accident, Initial Encounter Car driver injured in collision with sport utility vehicle in traffic Car driver injured in collision with sport utility vehicle in traffic Car driver injured in collision with pickup truck in traffic accident, Initial Encounter Car driver injured in collision with pickup truck in traffic Car driver injured in collision with pickup truck in traffic Car driver injured in collision with van in traffic accident, Initial Encounter Car driver injured in collision with van type car in traffic Car driver injured in collision with van type car in traffic 10 P a g e
MOTOR VEHICLE COLLISIONS (continued) Passenger V43.62xA V43.62xD V43.62xS V43.61xA V43.61xD V43.61xS V43.63xA V43.63xD V43.63xS V43.64xA V43.64xD V43.64xS Car passenger injured in collision with other type car in traffic accident, Initial Encounter Car passenger injured in collision with other type car in traffic Car passenger injured in collision with other type car in traffic Car passenger injured in collision with sport utility vehicle in traffic accident, Initial Encounter Car passenger injured in collision with sport utility vehicle in traffic Car passenger injured in collision with sport utility vehicle in traffic Car passenger injured in collision with pickup truck in traffic accident, Initial Encounter Car passenger injured in collision with pickup truck in traffic Car passenger injured in collision with pickup truck in traffic Car passenger injured in collision with van in traffic accident, Initial Encounter Car passenger injured in collision with van type car in traffic Car passenger injured in collision with van type car in traffic 11 P a g e