ICD code M5382 is used to classify other specified dorsopathies affecting the cervical region for accurate diagnosis and treatment documentation.
ICD code M5382 is used to identify "Other specified dorsopathies, cervical region." This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, M5382 refers to conditions affecting the cervical region of the spine, which includes the neck area, that do not fall under more specific categories of dorsopathies. Dorsopathies are disorders of the spine, and this particular code is used when a patient has a spinal condition in the cervical region that is specified but does not have a more precise classification within the existing ICD categories. This could include various types of spinal disorders that are not otherwise categorized, allowing for more accurate documentation and billing in the healthcare revenue cycle.
When to use the ICD code M53.82 (Other specified dorsopathies, cervical region):
1. Presence of Cervical Pain
- Patient reports pain localized in the cervical region.
2. Limited Range of Motion
- Observed or reported restriction in the movement of the neck.
3. Neurological Symptoms
- Presence of symptoms such as numbness, tingling, or weakness in the upper extremities.
4. Muscle Spasms
- Patient experiences involuntary muscle contractions in the neck area.
5. Radiating Pain
- Pain that radiates from the cervical region to the shoulders, arms, or upper back.
6. History of Trauma or Injury
- Recent history of trauma, such as whiplash or other injuries affecting the neck.
7. Chronic Conditions
- Diagnosis of chronic conditions that may contribute to cervical discomfort, such as arthritis or degenerative disc disease.
8. Diagnostic Imaging Findings
- Imaging studies (e.g., X-rays, MRI) indicating abnormalities in the cervical spine that do not fit into other specific categories.
9. Failure of Conservative Treatment
- Lack of improvement after conservative treatment measures, such as physical therapy or medication.
10. Exclusion of Other Conditions
- Other potential causes of cervical pain have been ruled out, confirming the diagnosis as unspecified dorsopathy.
For the ICD code M5382, which pertains to other specified dorsopathies in the cervical region, the relevant CPT codes that may be applicable for treatment include:
1. 99201-99205 - New patient office or other outpatient visit.
2. 99211-99215 - Established patient office or other outpatient visit.
3. 20552 - Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s).
4. 20553 - Injection(s); single or multiple trigger point(s), 3 or more muscles.
5. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa.
6. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.
7. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.
8. 97032 - Application of a modality to one or more areas; electrical stimulation (manual), each 15 minutes.
9. 97035 - Application of a modality to one or more areas; ultrasound, each 15 minutes.
10. 99241-99245 - Office consultation for a new or established patient.
These CPT codes are examples of procedures and services that may be utilized in the management and treatment of conditions associated with ICD code M5382. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the individual patient's treatment plan.
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