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Musculoskeletal ICD-10-CM Coding Tip Sheet: Overview of Key Chapter 13 Updates

The document provides an overview of key updates to musculoskeletal system codes in ICD-10-CM Chapter 13. It notes that most codes have site and laterality designations and that many conditions are the result of previous injury. Examples of combination codes including site are given. The top ten mappings from ICD-9 to ICD-10 codes for musculoskeletal conditions are listed, with ICD-10 codes providing greater specificity of body site than ICD-9 codes.

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503 views3 pages

Musculoskeletal ICD-10-CM Coding Tip Sheet: Overview of Key Chapter 13 Updates

The document provides an overview of key updates to musculoskeletal system codes in ICD-10-CM Chapter 13. It notes that most codes have site and laterality designations and that many conditions are the result of previous injury. Examples of combination codes including site are given. The top ten mappings from ICD-9 to ICD-10 codes for musculoskeletal conditions are listed, with ICD-10 codes providing greater specificity of body site than ICD-9 codes.

Uploaded by

Aneez Malik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Musculoskeletal ICD-10-CM Coding Tip Sheet

Overview of Key Chapter 13 Updates


Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)

Key Updates to the Musculoskeletal System Chapter Include:


 Most of the codes within chapter 13 have site and laterality designations. For some
conditions where more than one bone, joint or muscle is usually involved, such as
osteoarthritis, there is a “multiple sites” code available.
 Many musculoskeletal conditions are a result of previous injury or trauma to a site, or are
recurrent conditions. Bone, joint or muscle conditions that are the result of a healed injury
are usually found in chapter 13

Examples of Musculoskeletal Combination Codes


 M32.11 – Endocarditis in systemic lupus erythematosus
 M79.601 – Pain in right arm
 M79.602 – Pain in left arm
 Note: Wherever there are codes for laterality, there is always a code for unspecified –
M79.603 – Pain in arm, unspecified

(Source: 2014 Draft ICD-10-CM Official Guidelines for Coding and Reporting)
The top ten musculoskeletal ICD-9 to ICD-10 mappings are found in the chart below.
Top ICD-9 ICD-10
10 Code ICD-9 Description Code ICD-10 Description

1 724.2 Lumbago M54.5 Low back pain

2 719.46 Pain in joint, lower leg M25.561 Pain in right knee


M25.562 Pain in left knee
M25.569 Pain in unspecified knee

3 723.1 Cervicalgia M54.2 Cervicalgia

4 729.5 Pain in limb M79.601 Pain in right arm


M79.602 Pain in left arm
M79.603 Pain in arm, unspecified
M79.604 Pain in right leg
M79.605 Pain in left leg
M79.606 Pain in leg, unspecified
M79.609 Pain in unspecified limb
M79.621 Pain in right upper arm
M79.622 Pain in left upper arm
M79.629 Pain in unspecified upper arm
M79.631 Pain in right forearm

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The Top Ten Musculoskeletal ICD-9 to ICD-10 Mappings Continued
Top ICD-9 ICD-10
10 Code ICD-9 Description Code ICD-10 Description
M79.632 Pain in left forearm
M79.639 Pain in unspecified forearm
M79.641 Pain in right hand
M79.642 Pain in left hand
M79.643 Pain in unspecified hand
M79.644 Pain in right finger(s)
M79.645 Pain in left finger(s)
M79.646 Pain in unspecified finger(s)
M79.651 Pain in right thigh
M79.652 Pain in left thigh
M79.659 Pain in unspecified thigh
M79.661 Pain in right lower leg
M79.662 Pain in left lower leg
M79.669 Pain in unspecified lower leg
M79.671 Pain in right foot
M79.672 Pain in left foot
M79.673 Pain in unspecified foot
M79.674 Pain in right toe(s)
M79.675 Pain in left toe(s)
M79.676 Pain in unspecified toe(s)

5 719.41 Pain in joint, shoulder region M25.511 Pain in right shoulder


M25.512 Pain in left shoulder
M25.519 Pain in unspecified shoulder

Osteoarthrosis, localized, primary,


6 715.16 lower leg M17.0 Bilateral primary osteoarthritis of knee
Unilateral primary osteoarthritis,
M17.10 unspecified knee
Unilateral primary osteoarthritis, right
M17.11 knee
M17.12 Unilateral primary osteoarthritis, left knee

Thoracic or lumbosacral neuritis Intervertebral disc disorders with


7 724.4 or radiculitis, unspecified M51.14 radiculopathy, thoracic region
Intervertebral disc disorders with
M51.15 radiculopathy, thoracolumbar region
Intervertebral disc disorders with
M51.16 radiculopathy, lumbar region
Intervertebral disc disorders with
M51.17 radiculopathy, lumbosacral region
M54.14 Radiculopathy, thoracic region
M54.15 Radiculopathy, thoracolumbar region
M54.16 Radiculopathy, lumbar region
M54.17 Radiculopathy, lumbosacral region

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The Top Ten Musculoskeletal ICD-9 to ICD-10 mappings Continued
Top ICD-9 ICD-10
10 Code ICD-9 Description Code ICD-10 Description

Osteoarthrosis, unspecified
whether generalized or localized,
8 715.96 lower leg M17.9 Osteoarthritis of knee, unspecified

Pain in joint, pelvic region and


9 719.45 thigh M25.551 Pain in right hip
M25.552 Pain in left hip
M25.559 Pain in unspecified hip

10 719.47 Pain in joint, ankle and foot M25.571 Pain in right ankle and joints of right foot
M25.572
Pain in left ankle and joints of left foot
Pain in unspecified ankle and joints of
M25.579 unspecified foot
The codes highlighted in orange indicate the individual ICD-9 code that is being mapped
to one or many ICD-10 codes

(Source of ICD-9-CM to ICD-10-CM mappings: CMS.org General Equivalence Mappings (GEMs), 2014)

The information in this document is not intended to impart legal advice. This overview is intended as an educational tool only and
should not be relied upon as legal or compliance advice. If you have any legal questions about the information contained herein, you
should consult your attorney or other professional legal services provider.

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