ICD 10 Changes October 1, 2024
Exciting ICD-10-CM Updates Bring Clarity to Disc Degeneration Codes
Evan Gwilliam DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow Senior Vice President, Practisync
The official ICD-10 updates for Fiscal Year 2025 go into effect October 1st, 2024. There are 252 new codes, 36 deleted, and 13 revised codes for 2025. There are also a few updates and clarifications to some guidelines. As in the past, only a few of these changes may be relevant to chiropractors and other physical medicine providers.
(this is the big one)
Chapter 13 contains codes for diseases of the musculoskeletal system and connective tissue.
The big change that is likely
to be relevant to chiropractic is to M51.36 Other intervertebral disc degeneration, lumbar region and M51.37 Other intervertebral disc degeneration, lumbosacral region. Each of these codes will now require a sixth character, which clarifies if there is also discogenic low back pain and/or lower extremity pain.
The additions look like this (new codes in bold; the inclusion terms beneath each code, not italicized or bolded, are also official additions):
M51.36 Other intervertebral disc degeneration, lumbar region
M51.360 Other intervertebral disc degeneration, lumbar region with discogenic back pain only
Other intervertebral disc degeneration, lumbar region with axial back pain only
M51.361 Other intervertebral disc degeneration, lumbar region with lower extremity pain only
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Other intervertebral disc degeneration, lumbar region with axial back pain and referred sclerotomal pain
M51.369 Other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity pain
Other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or leg pain
Other intervertebral disc degeneration, lumbar region, NOS
M51.37 Other intervertebral disc degeneration, lumbosacral region
M51.370 Other intervertebral disc degeneration, lumbosacral region with discogenic back pain only
Other intervertebral disc degeneration, lumbosacral region with axial back pain only
Other intervertebral disc degeneration, lumbar region with leg pain only
Other intervertebral disc degeneration, lumbar region with referred sclerotomal pain only
M51.362 Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain
Other intervertebral disc degeneration, lumbar region with discogenic back pain and leg pain
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