ICD-10 Coding of Osteoarthritis | ICD-10 Coding Guidelines



ICD-10 Coding of Osteoarthritis | ICD-10 Coding Guidelines http://go.cco.us/icd-10-cm-full-course

Chandra: A: For the ICD-10 for osteoarthritis, the guidelines actually state that you should use the multiple osteoarthritis code unless the specific codes are more appropriate for the circumstantial coding, and basically it comes down to the payer rules. If you’re seeing a patient simply to manage their osteoarthritis and they’ve got osteoarthritis in multiple joints, maybe they got in their left shoulder, their right shoulder, their left elbow and their left hip. Most providers are going to report that with a multiple osteoarthritis code.

The times that you would break into the specific joint and laterality would be when you’re trying to prove or substantiate medical necessity for certain things, like if you were evaluating a patient or planning to do a hip replacement on that same patient, they may have osteoarthritis and all these different joints but you’re focused on the hip joint, specifically the left hip joint. So, your claim should have the specific code to say, “Specifically we’re dealing with osteoarthritis of the left hip,” then you could add additional codes, say “they also have it here, here, and here,” but for our purposes we want that specificity. That’s really the only time that she usually going to come into play, it all comes down to payment, unfortunately.

Laureen: Is this the guideline?

Alicia: M15 – M19 are the codes that we’re looking at, that’s it.

Chandra: Yeah. Usually there’s a multiple sites option, for categories where there’s no multiple site, code should be used to indicate the different sites involved.

Alicia: M15.3 secondary multiple arthritis?

Chandra: That’s secondary. When you’re talking M15, remember secondary is the result of something else. These are more than likely, I think they’re M19s if I remember correctly.

Alicia: Yeah, I was there…

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More Information about ICD 10 Coding of Osteoarthritis

ICD-10 Code Lookup – CMS.gov
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Road to 10 » ICD-10 Basics
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ICD-10 Overview | Medicaid.gov
https://www.medicaid.gov…
Medicaid.gov ‑ Official U.S. Government Site
The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases, signs and symptoms, …

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