Chapter 11 Coding for Musculoskeletal System and Connective
- Slides: 8
Chapter 11 Coding for Musculoskeletal System and Connective Tissue Diseases Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Musculoskeletal System and Connective Tissue Diseases • Musculoskeletal system and connective tissue diseases are included in code section 710 to 739 of chapter 13, in the Disease Tabular of ICD-9 -CM Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Musculoskeletal Disorders: Arthritic Disorders • Osteoarthritis (OA) (715. 0 -9 X) – Degenerative joint disease (DJD) – Primary (idiopathic) versus secondary (caused by injury or disease) • Rheumatoid arthritis (714. 0) – Autoimmune disorder • Gouty arthritis (274. 00 – 274. 03) – Excessive uric acid levels Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Musculoskeletal Disorders: Joint Derangements • Chronic disorder – Old injury – Code 717. 0 -9 • Acute injury – Current injury – 836. 0 -6 X Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Musculoskeletal Disorders: Bone Fractures • Pathologic fractures – Spontaneous fracture (non-traumatic) occurring from weakened bone state due to disease – Examples of diseases that may result in pathological fractures : osteoporosis, osteopenia, bone metastases • Traumatic fractures – Due to injury/trauma – Example: football injury, motor vehicle collision, fall from ladder • Stress fractures - Due to repetitive application of force/overuse - Example: running long distances Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Musculoskeletal Disorders: Inflammatory Conditions • Osteomyelitis (730. XX) – Bone and bone marrow inflammation – Caused by bacterial infection • Necrotizing fasciitis (728. 26) – Infection of fibrous membrane that surrounds muscle • Costochondritis (733. 6) – Inflammation of the cartilage between the sternum and the ribs (usually resulting from over-strenous activity; although non-coronary, chest pain similar to CAD Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Musculoskeletal Disorders: Back and Spine Disorders • Back pain NOS (724. 5) • Low back pain (724. 2) • Displacement of an intervertebral disk (i. e. , slipped disk, ruptured disk, herniated nucleus pulposis [HNP]), and spinal stenosis – Surgical intervention • Laminectomy (decompressive) (03. 09) • Laminectomy with diskectomy (code 80. 51 for diskectomy only; laminectomy is considered an operative approach, and the code is omitted) • Fusion procedure (81. 0 X) • Spondylosis – Degeneration of intervertebral disks (DJD of spine) Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Connective Tissue Diseases • Systemic lupus erythematosus (SLE) (710. 0) – Autoimmune disorder that causes damage to connective tissues (collagen) and may affect many organs (i. e. , “systemic” including joints, skin, heart, kidneys, lungs). • Systemic sclerosis (scleroderma) (710. 1) – A chronic progressive disease of the skin causing hardening and shrinking of connective tissue that may also affect internal organs (i. e. , “systemic”) such as the esophagus, heart, lungs, and kidneys. The cause is unknown. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
