ICD Code M54.02

ICD code M5402 is used to identify a medical condition known as panniculitis affecting the cervical region of the neck and back. Panniculitis refers to the inflammation of the subcutaneous fat layer beneath the skin, which can cause painful nodules or lumps. When this condition occurs in the cervical region, it specifically affects the area around the neck and upper back. This code helps healthcare providers accurately document and communicate the diagnosis for treatment and billing purposes.

When to use the ICD code M5402 for panniculitis affecting regions of the neck and back, cervical region:

1. Presence of Panniculitis: Diagnosis must confirm the presence of panniculitis, characterized by inflammation of the subcutaneous fat layer.

2. Location of Symptoms: Symptoms must specifically affect the cervical region of the neck and the back.

3. Clinical Symptoms:

- Swelling or edema in the affected areas.

- Pain or tenderness in the cervical region and back.

- Redness or erythema over the inflamed areas.

- Possible presence of nodules or lumps under the skin.

4. Duration of Symptoms: Symptoms should be persistent and not transient, indicating a chronic condition.

5. Exclusion of Other Conditions: Other potential causes of similar symptoms (e.g., infections, other inflammatory conditions) must be ruled out through clinical evaluation.

6. Diagnostic Imaging or Biopsy: If applicable, supportive diagnostic imaging or biopsy results should indicate inflammation consistent with panniculitis.

7. Patient History: Relevant patient history, including any autoimmune disorders, recent infections, or trauma, should be documented to support the diagnosis.

8. Response to Treatment: Evaluation of the patient's response to initial treatments may also be considered in confirming the diagnosis of panniculitis.

By adhering to these diagnostic criteria, healthcare providers can accurately determine when to apply the ICD code M5402 in their documentation and billing processes.

For the ICD code M54.02, which pertains to panniculitis affecting regions of the neck and back, cervical region, the relevant CPT codes that may be applicable for treatment could include:

1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

2. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

3. 20551 - Injection(s); single tendon origin/insertion.

4. 64450 - Injection, anesthetic agent; other peripheral nerve or branch.

5. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

6. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

7. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are examples of procedures that might be used in the management or treatment of conditions related to the ICD code M54.02. The selection of specific CPT codes would depend on the individual patient's treatment plan and the healthcare provider's clinical judgment. Always consult with a coding specialist or refer to the latest coding guidelines for the most accurate and applicable codes.

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