Diagnosis Codes (ICD-10) Commonly Used
in the Chiropractic OfficeThis section was compiled by
Frank M. Painter, D.C. and Daniel R. Prideaux, D.C.
Send all comments or additions to: Frankp@chiro.org
Check out our older ICD-9 Page
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Conditions That Respond | Alternative Medicine Approaches to Disease |
Dear Colleagues,
Because I retired from practice in late 2020, I have not updated these codes since that time. Most likely, most of the codes on this page will remain accurate well into the future, but be advised that new codes are issued periodically, and older codes can be discontinued.
If one of you would like to take over managing this page for our users, I welcome you. You can e-mail me any changes, and I can easily update the page for you, OR I can help you craft the page yourself, it you are interested in that. The page is designed in basic HTML with the ability to use “file includes” (server-side includes) that speed up the loading of the page.
You can contact Frank M. Painter, D.C. here.
The ICD-10 Reference Lounge
ICD-10-CM ~ Tabular List of Diseases and Injuries (2019)
This is the Mother-Load. All the codes in order.
Look for #13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
ICD-10-CM ~ Index to Diseases and Injuries (2019)
An A to Z list (an index) with suggested ICD codes
ICD-10-CM ~ External ICD-10-CM Official Guidelines for Coding and Reporting FY 2019 (2019)
This is the E-codes Index.
Refer to Chapter 20 (Page 85) External Causes of Morbidity (V00-Y99) for the actual E-codes.
ICD-10-CM ~ External Cause of Injuries Index (2019)
This is the E-codes Index.
Refer to Chapter 20 External Causes of Morbidity (V00-Y99) for the actual E-codes.
NOTE: All of these PDF (Acrobat) files are set to open up in a separate browser window,
so that you can refer to this page and the ICD-10 document at the same time.
DIAGNOSIS CODES:
The Cervical Spine:
M99.01 Segmental and somatic dysfunction of cervical region (Medicare code) M99.11 Subluxation complex (vertebral) of cervical region M25.50 Pain in unspecified joint (Cervical facet) M54.2 Cervicalgia M54.12 Radiculopathy, cervical region M25.60 Stiffness of unspecified joint, not elsewhere classified M25.48 Effusion, other site (Cervical facet) ------------------------------------------------------------------------------------ M47 Spondylosis Includes: • arthrosis or osteoarthritis of spine • degeneration of facet joints M47.811 Spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region M47.812 Spondylosis without myelopathy or radiculopathy, cervical region M47.21 Other spondylosis with radiculopathy, occipito-atlanto-axial region M47.22 Other spondylosis with radiculopathy, cervical region M47.23 Other spondylosis with radiculopathy, cervicothoracic region M47.892 Other spondylosis, cervical region M47.893 Other spondylosis, cervicothoracic ------------------------------------------------------------------------------------ M46.42 Discitis, unspecified, cervical region M46.43 Discitis, unspecified, cervicothoracic region M50.11 Cervical disc disorder with radiculopathy, occipito-atlanto-axial region • C2-C4 disc disorder with radiculopathy M50.12 Cervical disc disorder with radiculopathy, mid-cervical region • C4-C7 disc disorder with radiculopathy M50.13 Cervical disc disorder with radiculopathy, cervicothoracic region • C7,8-T1 disc disorder with radiculopathy ------------------------------------------------------------------------------------ M70 Soft tissue disorders related to use, overuse and pressure M79.1 Myofascial pain syndrome Excludes: • fibromyalgia (M79.7) • myositis (M60.-) Use additional external cause code to identify the activity causing disorder (Y93.-) Y93.C1 Activity, computer keyboarding Y93.C2 Activity, hand held interactive electronic device Y93.E3 Activity, vacuuming Y93.E4 Activity, ironing Y93.F1 Activity, caregiving, bathing Y93.F2 Activity, caregiving, lifting Y93.F9 Activity, other caregiving Y93.H1 Activity, digging, shoveling and raking Y93.J1 Activity, piano playing Y93.J3 Activity, string instrument playing Y93.K1 Activity, walking an animal ------------------------------------------------------------------------------------ Injuries to the neck (S10-S19) S13.4XXA Sprain of ligaments of cervical spine, initial encounter S14.2XXA Injury of nerve root of cervical spine, initial encounter S14.3XXA Injury of brachial plexus, initial encounter S16.1XXA Strain of muscle, fascia and tendon at neck level, initial encounter ------------------------------------------------------------------------------------ REFERENCE NOTES: For use of the A, D and S extensions S13.4XXA Sprain of ligaments of cervical spine, Initial Encounter = A To be used for ALL Active Care visits S13.4XXD Sprain of ligaments of cervical spine, Subsequent Encounter = D Subsequent Encounter is the visit(s) after the active phase of treatment terminates. For instance, a medical provider refers a patient to a chiropractor for care; once care is completed with the chiropractor and the patient is being "checked" out by the medical provider, that constitutes the subsequent encounter. S13.4XXS Sprain of ligaments of cervical spine, Sequela = S National Government Services, another multistate Medicare intermediary, also lists only the strain and sprain codes with the A extensions, but also codes with the S extension for sequelae. Sequelae refers to the complications or conditions that arise as a direct result of an injury (residual effects). These residual effects can be pain, scar tissue, loss of range of motion, etc. Generally, a sequelae code such as S13.4XXS is coded secondary to the sequelae itself. For instance, residual pain in the cervical spine, following a sprain would be coded in the following manner: S13.4XXA Sprain of ligaments of cervical spine M54.2 cervical pain (as primary symptom) S13.4XXS this indicates this pain is a sequelae of a cervical sprain FROM: Coding for Strains and Sprains in ICD-10 Dynamic Chiropractic – June 1, 2015, Vol. 33, Issue 1 ------------------------------------------------------------------------------------The Thoracic Spine:
M99.02 Segmental and somatic dysfunction of thoracic region (Medicare code) M99.12 Subluxation complex (vertebral) of thoracic region M25.50 Pain in unspecified joint (Thoracic facet) M54.6 Pain in thoracic spine M54.14 Radiculopathy, thoracic region M51.14 Intervertebral disc disorders with radiculopathy, thoracic region M51.15 Intervertebral disc disorders with radiculopathy, thoracolumbar region M25.60 Stiffness of unspecified joint, not elsewhere classified M25.48 Effusion, other site (Thoracic facet) M47.814 Spondylosis without myelopathy or radiculopathy, thoracic region M47.815 Spondylosis without myelopathy or radiculopathy, thoracolumbar region M47.24 Other spondylosis with radiculopathy, thoracic region M47.25 Other spondylosis with radiculopathy, thoracolumbar region M47.894 Other spondylosis, thoracic region M47.895 Other spondylosis, thoracolumbar region M46.44 Discitis, unspecified, thoracic region M46.45 Discitis, unspecified, thoracolumbar region S23.3XXA Sprain of ligaments of thoracic spine, initial encounter S24.2XXA Injury of nerve root of thoracic spine, initial encounter ------------------------------------------------------------------------------------The Lumbar Spine:
M99.03 Segmental and somatic dysfunction of lumbar region (Medicare code) M99.13 Subluxation complex (vertebral) of lumbar region M25.50 Pain in unspecified joint (Lumbar facet) M54.46 Low back pain with sciatica, lumbar region M54.47 Low back pain with sciatica, lumbosacral region See all M54 listings M54.5 Low Back Pain (Do not use after Oct 2021) M54.50 Low back pain, multiple sites in spine M54.56 Low back pain, lumbar region M54.57 Low back pain, lumbosacral region M54.58 Low back pain, sacral and sacrococcygeal region M54.16 Radiculopathy, lumbar region M54.17 Radiculopathy, lumbosacral region M51.16 Intervertebral disc disorders with radiculopathy, lumbar region M54.31 Sciatica, right side M54.32 Sciatica, left side M25.60 Stiffness of unspecified joint, not elsewhere classified M25.48 Effusion, other site (Lumbar facet) M47.816 Spondylosis without myelopathy or radiculopathy, lumbar region M47.26 Other spondylosis with radiculopathy, lumbar region M47.896 Other spondylosis, lumbar region M47.897 Other spondylosis, lumbosacral region S39.012A Strain of muscle, fascia and tendon of lower back ------------------------------------------------------------------------------------The Pelvis:
M99.04 Segmental and somatic dysfunction of sacral region (Medicare code) M99.05 Segmental and somatic dysfunction of pelvic region (Medicare code) M99.14 Subluxation complex (vertebral) of sacral region M99.15 Subluxation complex (vertebral) of pelvic region M25.50 Pain in unspecified joint (Sacroiliac joint) See all M54 listings M54.5 Low Back Pain (Sacroiliac joint) (Do not use after Oct 2021) M54.57 Low back pain, lumbosacral region M54.58 Low back pain, sacral and sacrococcygeal region M54.59 Low back pain, site unspecified M54.17 Radiculopathy, lumbosacral region G57.01 Lesion of sciatic nerve, right lower limb (Piriformis Syndrome, aka Pseudosciatia) G57.71 Causalgia of right lower limb G57.02 Lesion of sciatic nerve, left lower limb (Piriformis Syndrome, aka Pseudosciatia) G57.72 Causalgia of left lower limb M47.817 Spondylosis without myelopathy or radiculopathy, lumbosacral region M51.17 Intervertebral disc disorders with radiculopathy, lumbosacral region M25.50 Pain in unspecified joint (Sacroiliac joint) M25.60 Stiffness of unspecified joint, not elsewhere classified M25.48 Effusion, other site (Sacroiliac joint) M47.27 Other spondylosis with radiculopathy (Sacroiliac joint) S39.013A Strain of muscle, fascia and tendon of pelvis ------------------------------------------------------------------------------------ STILL IN PROGRESSThe Peripheral Joint Codes:
M99.07 Segmental and somatic dysfunction of upper extremity M99.06 Segmental and somatic dysfunction of lower extremity M75.01 Adhesive capsulitis of right shoulder M75.02 Adhesive capsulitis of left shoulder M25.611 Stiffness of right shoulder, not elsewhere classified M25.612 Stiffness of left shoulder, not elsewhere classified M75.101 Unspecified rotator cuff tear or rupture of right shoulder, non-traumatic M75.102 Unspecified rotator cuff tear or rupture of left shoulder, non-traumatic M75.21 Bicipital tendinitis, right shoulder M75.22 Bicipital tendinitis, left shoulder M75.41 Impingement syndrome of right shoulder M75.42 Impingement syndrome of left shoulder M25.511 Pain in right shoulder M25.512 Pain in left shoulder M79.601 Pain in right arm M79.602 Pain in left arm M79.621 Pain in right upper arm M79.622 Pain in left upper arm M25.521 Pain in right elbow M25.522 Pain in left elbow M77.01 Medial epicondylitis, right elbow M77.02 Medial epicondylitis, left elbow M77.11 Lateral epicondylitis, right elbow M77.12 Lateral epicondylitis, left elbow M77.21 Periarthritis, right wrist M77.22 Periarthritis, left wrist M25.631 Stiffness of right wrist, not elsewhere classified M25.632 Stiffness of left wrist, not elsewhere classified M25.531 Pain in right wrist M25.532 Pain in left wrist M79.604 Pain in right leg M79.605 Pain in left leg M25.561 Pain in right knee M25.562 Pain in left knee M25.661 Stiffness of right knee, not elsewhere classified M25.662 Stiffness of left knee, not elsewhere classified M76.51 Patellar tendinitis, right knee M76.52 Patellar tendinitis, left knee M79.651 Pain in right thigh M79.652 Pain in left thigh M25.571 Pain in right ankle and joints of right foot M25.572 Pain in left ankle and joints of left foot M25.671 Stiffness of right ankle, not elsewhere classified M25.672 Stiffness of left ankle, not elsewhere classified ------------------------------------------------------------------------------------ STILL IN PROGRESSVarious Other Codes:
M62.81 Muscle weakness (generalized) M62.830 Muscle spasm of back M62.831 Muscle spasm of calf M62.838 Other muscle spasm R26.81 Unsteadiness on feet R29.2 Abnormal reflex R29.3 Abnormal posture R46.6 Undue concern and preoccupation with stressful events R60.0 Localized edema R10.83 Colic G89.11 Acute pain due to trauma G89.21 Chronic pain due to trauma G90.511 Complex regional pain syndrome I of right upper limb G90.512 Complex regional pain syndrome I of left upper limb G90.513 Complex regional pain syndrome I of upper limb, bilateral G90.521 Complex regional pain syndrome I of right lower limb G90.522 Complex regional pain syndrome I of left lower limb G90.523 Complex regional pain syndrome I of lower limb, bilateral ------------------------------------------------------------------------------------ OLD ICD-9 CODESHeadaches:
NOTE: Always use the more specific 5 digit code! Cluster Headaches And Other Trigeminal Autonomic Cephalgias 339.00 Cluster headache syndrome, unspecified 339.01 Episodic cluster headache 339.05 Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing 339.09 Other trigeminal autonomic cephalgias Tension Type Headache 339.10 Tension-type headache, unspecified 339.11 Episodic tension-type headache 339.12 Chronic tension-type headache 307.81 Tension Headache Post-traumatic Headache 339.20 Posttraumatic headache, unspecified 339.21 Acute posttraumatic headache 339.22 Chronic posttraumatic headache 339.30 Drug-induced headache, not elsewhere classified Complicated Headache Syndromes 339.41 Hemicrania continua 339.42 New daily persistent headache 339.43 Primary thunderclap headache 339.44 Other complicated headache syndrome Other Specified Headache Syndromes 339.81 Hypnic headache 339.82 Headache associated with sexual activity 339.83 Primary cough headache 339.84 Primary exertional headache 339.85 Primary stabbing headache 339.89 Other specified headache syndromes 784.0 Headache (Facial pain; Pain in head NOS) ------------------------------------------------------------------------------------ OLD ICD-9 CODESMigraines:
Migraine with aura (Classical Migraine) 346.00 Migraine with aura without mention of intractable Migraine without mention of status Migrainosus 346.01 Migraine with aura with intractable Migraine, so stated, without mention of status migrainosus 346.02 Migraine with aura without mention of intractable migraine with status migrainosus 346.03 Migraine with aura with intractable migraine, so stated, with status migrainosus Migraine without aura 346.10 Migraine without aura without mention of intractable Migraine without mention of status Migrainosus 346.11 Migraine without aura with intractable Migraine, so stated, without mention of status migrainosus 346.12 Migraine without aura without mention of intractable migraine with status migrainosus 346.13 Migraine without aura with intractable migraine, so stated, with status migrainosus Variants Of Migraine, not elsewhere classified 346.20 Variants Of Migraine, not elsewhere classified without mention of intractable Migraine without mention of status Migrainosus 346.21 Variants Of Migraine, not elsewhere classified with intractable Migraine, so stated, without mention of status migrainosus 346.22 Variants Of Migraine, not elsewhere classified without mention of intractable migraine with status migrainosus 346.23 Variants Of Migraine, not elsewhere classified with intractable migraine, so stated, with status migrainosus 346.3 Hemiplegic Migraine Please refer to FlashCode Menstrual Migraine 346.40 Menstrual Migraine without mention of intractable Migraine without mention of status Migrainosus 346.41 Menstrual Migraine with intractable Migraine, so stated, without mention of status migrainosus 346.42 Menstrual Migraine without mention of intractable migraine with status migrainosus 346.43 Menstrual Migraine with intractable migraine, so stated, with status migrainosus 346.5 Persistent Migraine Aura Without Cerebral Infarction Please refer to FlashCode 346.6 Persistent Migraine Aura With Cerebral Infarction Please refer to FlashCode Chronic Migraine Without Aura 346.70 Chronic Migraine Without Aura without mention of intractable Migraine without mention of status Migrainosus 346.71 Chronic Migraine Without Aura with intractable Migraine, so stated, without mention of status migrainosus 346.72 Chronic Migraine Without Aura without mention of intractable migraine with status migrainosus 346.73 Chronic Migraine Without Aura with intractable migraine, so stated, with status migrainosus 346.8 Other forms of migraine Please refer to FlashCode 346.9 Migraine, unspecified Please refer to FlashCode ------------------------------------------------------------------------------------ OLD ICD-9 CODESEXTERNAL CAUSES OF INJURY: (The "E" Codes):
(Refer to Chapter 20 ICD-10 External Causes of Morbidity (V00-Y99) for the current E-codes. Motor Vehicle Traffic Accident Involving Collision With Other Vehicle E813.0 Motor Vehicle Collision w/ Another Vehicle (Injuring Driver) E813.1 Motor Vehicle Collision w/ Another Vehicle (Injuring Passenger) E813.7 Motor Vehicle Collision w/ Another Vehicle (Injuring Pedestrian) Please review the other vehicle accident codes at FlashCode Accidental Fall On or From Stairs or Steps E880.0 Accidental Fall On Or From Escalator E880.1 Accidental Fall On Or From Sidewalk Curb E880.9 Accidental Fall On Or From Other Stairs Or Steps Fall On Same Level From Slipping, Tripping, Or Stumbling E885.9 Fall From Other Slipping, Tripping, Or Stumbling Fall On Same Level From Collision, Pushing, Or Shoving, By or With Other Person E886.0 Fall On Same Level From Collision, Pushing, or Shoving, In Sports E886.9 Fall from collision of pedestrian with another pedestrian (conveyance) Other And Unspecified Accidental Fall E888.0 Fall Resulting In Striking Against Sharp Object E888.1 Fall Resulting In Striking Against Other Object E888.8 Other Fall E916 Struck Accidently by Falling Object Please review other falling object codes at FlashCode Striking Against Or Struck Accidentally By Objects Or Persons E917.0 Striking Against Or Struck Accidentally By Objects or Persons In Sports E917.7 Striking Against Or Struck Accidentally by Furniture with Subsequent Fall E917.8 Striking Against Or Struck Accidentally (Fall in Bathtub) Overexertion And Strenuous And Repetitive Movements Or Loads E927.0 Overexertion From Sudden Strenuous Movement. Sudden trauma from strenuous movement E927.1 Overexertion From Prolonged Static Position E927.2 Excessive Physical Exertion From Prolonged Activity E927.3 Cumulative Trauma From Repetitive Motion Late Effects Of Accidental Injury E929.0 Late Effects Of Motor Vehicle Accident E929.3 Late Effects Of Accidental Fall
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