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Diagnosis Codes Used With : Vertebroplasty, Vertebral Augmentation and Computed Tomography

By:  Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Published:  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

M84.68XA

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.  

*Use ICD-10-CM code M85.80M85.9 or M89.9 to report a secondary diagnosis of “osteopenia.”


References:

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