by Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
February 1st, 2018
Per CGS Administrators LCD L34048 the following codes are the ICD-10-CM Cdes that support Medical Necessity: (Be sure to verify with your local payer)
Stand Alone ICD-10 codes
Primary Diagnosis Codes
Secondary Diagnosis Codes
One of the following diagnosis codes must be reported with one of the codes above in group 2.
Combination coding of the primary diagnosis(group 2) of pathologic fracture of vertebrae (ICD-10-CM codes M48.51XA-M48.58XA, or M84.68XA) plus at least one code from the “Secondary Diagnosis Code” (group 3)ICD-10-CM list below must be submitted to support medical necessity.