ICD-10 codes for ESI policy.docx

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ICD-10-CM Codes associated with epidural steroid injections (ESI) for low back pain – Effective 10/1/2015

ICD-10-CM Codes ICD-10-CM codes listed below are for informational purposes only, and do not guarantee member coverage or provider reimbursement.The list may not be all-inclusive.

ICD-10-CM Code(s) ICD-10-CM code descriptor M47.20 Other spondylosis with radiculopathy, site unspecified

M47.819 Spondylosis without myelopathy or radiculopathy, site unspecified

M47.899 Other spondylosis, site unspecified

M47.9 Spondylosis, unspecified

M48.00 Spinal stenosis, site unspecified

M48.05 Spinal stenosis, thoracolumbar region

M48.06 Spinal stenosis, lumbar region

M48.07 Spinal stenosis, lumbosacral region

M48.08 Spinal stenosis, sacral and sacrococcygeal region

M48.50XA-M48.58XS Collapsed vertebra, not elsewhere classified

M51.15-M51.17 Intervertebral disc disorders with radiculopathy, thoracolumbar, lumbar & lumbosacral regions

M51.26, M51.27 Other intervertebral disc displacement, lumbar & lumbosacral regions

M51.36, M51.37 Other intervertebral disc degeneration, lumbar & lumbosacral regions

M54.15-M54.17 Radiculopathy, thoracolumbar, lumbar & lumbosacral regions

M54.30-M54.32 Sciatica

M54.40-M54.42 Lumbago with sciatica

M54.5 Lumbago

M54.89 Other dorsalgia

M54.9 Dorsalgia, unspecified

M80.08XA-M80.08XS Age-related osteoporosis with current pathological fracture, vertebra(e)

M80.88XA-M80.88XS Other osteoporosis with current pathological fracture, vertebra(e)

M84.48XA-M84.48XS Pathological fracture, other site

M84.58XA-M84.58XS Pathological fracture in neoplastic disease, other specified site

M84.68XA-M84.68XS Pathological fracture in other disease, other site

M99.21-M99.23 Subluxation stenosis of neural canal of cervical, thoracic & lumbar regions

M99.31-M99.33 Osseous stenosis of neural canal of cervical, thoracic & lumbar regions

M99.41-M99.43 Connective tissue stenosis of neural canal of cervical, thoracic & lumbar regions

M99.51-M99.53 Intervertebral disc stenosis of neural canal of cervical, thoracic & lumbar regions

M99.61-M99.63 Osseous and subluxation stenosis of intervertebral foramina of cervical, thoracic & lumbar regions

M99.71-M99.73 Connective tissue and disc stenosis of intervertebral foramina of cervical, thoracic & lumbar regions