ICD-10: Clinical Concepts for Orthopedics

1 1 ICD-10 Clinical Concepts SeriesICD-10 Common Codes for Orthopedics is a feature of Road to 10, a CMS online tool built with physician input. ICD-10 With Road to 10, you can: l Build an ICD-10 action plan customized for your practice l Use interactive case studies to see how your coding selections compare with your peers coding l Access quick references from CMS and medical and trade associations l View in-depth webcasts for and by medical professionalsTo get on the Road to 10 and find out more about ICD-10, visit: CMS Industry Resources for the ICD-10 Compliance Date: October 1, 2015 Clinical Concepts for OrthopedicsCommon CodesClinical Documentation TipsClinical Scenarios Scenario 1.

2 Fracture Follow-Up Visit Scenario 2: Shoulder ROM Office Visit Scenario 3: Tear of Medial Meniscus With Anterior Cruciate Ligament Injury Scenario: Cervical Disc Disease Scenario: Struck by Car Scenario: FractureClinical ScenariosTable Of ContentsCommon CodesClinical Documentation Tips Cervical Spine Disorders and Displacement Neck and Back Pain Osteoarthritis of the Hip Osteoarthritis of the Knee Radiculopathy (Primary) Rheumatoid Arthritis Selected Shoulder Conditions Spinal Stenosis of the Lumbar Region Selected Sprains Rotator Cuff, Cruciate Ligament, and Ankle Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders Fractures Arthritis Injuries3 Common CodesICD-10 Compliance Date.

3 October 1, * Cervical disc disorder with myelopathy, unspecified cervical Cervical disc disorder with myelopathy, occipito-atlanto-axial Cervical disc disorder with myelopathy, mid-cervical Cervical disc disorder with myelopathy, cervicothoracic * Cervical disc disorder with radiculopathy, unspecified cervical Cervical disc disorder with radiculopathy, occipito-atlanto-axial Cervical disc disorder with radiculopathy, mid-cervical Cervical disc disorder with radiculopathy, cervicothoracic * Other cervical disc displacement, unspecified cervical Other cervical disc displacement, occipito-atlanto-axial Other cervical disc displacement, mid-cervical Other cervical disc displacement, cervicothoracic * Other cervical disc degeneration, unspecified cervical Other cervical disc degeneration, occipito-atlanto-axial Other cervical disc degeneration, mid-cervical Other cervical disc degeneration, cervicothoracic * Other cervical disc disorders, unspecified cervical Other cervical disc disorders, occipito-atlanto-axial Other cervical disc disorders.

4 Mid-cervical Other cervical disc disorders, cervicothoracic * Cervical disc disorder, unspecified, unspecified cervical Cervical disc disorder, unspecified, occipito-atlanto-axial Cervical disc disorder, unspecified, mid-cervical Cervical disc disorder, unspecified, cervicothoracic regionCervical Spine Disorders and Displacement (ICD-9-CM , , , , )*Codes with a greater degree of specificity should be considered * Sciatica, unspecified Sciatica, right Sciatica, left * Lumbago with sciatica, unspecified Lumbago with sciatica, right Lumbago with sciatica, left Low back Pain in thoracic Other * Dorsalgia, Bilateral primary osteoarthritis of * Unilateral primary osteoarthritis, unspecified Unilateral primary osteoarthritis, right Unilateral primary osteoarthritis, left Bilateral osteoarthritis resulting from hip * Unilateral osteoarthritis resulting from hip dysplasia .

5 Unspecified Unilateral osteoarthritis resulting from hip dysplasia , right Unilateral osteoarthritis resulting from hip dysplasia , left Bilateral post-traumatic osteoarthritis of * Unilateral post-traumatic osteoarthritis, unspecified Unilateral post-traumatic osteoarthritis, right Unilateral post-traumatic osteoarthritis, left Other bilateral secondary osteoarthritis of Other unilateral secondary osteoarthritis of * Osteoarthritis of hip, unspecifiedNeck and Back Pain (ICD-9-CM , , , , )Osteoarthritis of the Hip (ICD-9-CM , , , )*Codes with a greater degree of specificity should be considered first.

6 *Codes with a greater degree of specificity should be considered Bilateral primary osteoarthritis of * Unilateral primary osteoarthritis, unspecified Unilateral primary osteoarthritis, right Unilateral primary osteoarthritis, left Bilateral post-traumatic osteoarthritis of * Unilateral post-traumatic osteoarthritis, unspecified Unilateral post-traumatic osteoarthritis, right Unilateral post-traumatic osteoarthritis, left Other bilateral secondary osteoarthritis of Other unilateral secondary osteoarthritis of * Osteoarthritis of knee, * Radiculopathy, site Radiculopathy, occipito-atlanto-axial Radiculopathy, cervical Radiculopathy, cervicothoracic Radiculopathy, thoracic Radiculopathy, thoracolumbar Radiculopathy, lumbar Radiculopathy, lumbosacral Radiculopathy, sacral and sacrococcygeal * Sciatica, unspecified Sciatica, right Sciatica, left sideOsteoarthritis of the Knee (ICD-9-CM , , , )Radiculopathy (Primary) (ICD-9-CM , , , )*Codes with a greater degree of specificity should be considered first.

7 *Codes with a greater degree of specificity should be considered Rheumatoid arthritis of right shoulder with involvement of other organs and Rheumatoid arthritis of left shoulder with involvement of other organs and * Rheumatoid arthritis of unspecified shoulder with involvement of other organs and Rheumatoid arthritis of right elbow with involvement of other organs and Rheumatoid arthritis of left elbow with involvement of other organs and * Rheumatoid arthritis of unspecified elbow with involvement of other organs and Rheumatoid arthritis of right wrist with involvement of other organs and Rheumatoid arthritis of left wrist with involvement of other organs and * Rheumatoid arthritis of unspecified wrist with involvement of other organs and Rheumatoid arthritis of right hand with involvement of other organs and Rheumatoid arthritis of left hand with involvement of other organs and * Rheumatoid arthritis of unspecified hand with involvement of other organs and Rheumatoid arthritis of right hip with involvement of other

8 Organs and Rheumatoid arthritis of left hip with involvement of other organs and * Rheumatoid arthritis of unspecified hip with involvement of other organs and Rheumatoid arthritis of right knee with involvement of other organs and systemsRheumatoid Arthritis (ICD-9-CM , )Excludes Combination Codes that Include Neuropathy, Bursitis and Nodule Codes, and the Codes that Indicate Unspecified Site .*Codes with a greater degree of specificity should be considered Rheumatoid arthritis of left knee with involvement of other organs and * Rheumatoid arthritis of unspecified knee with involvement of other organs and Rheumatoid arthritis of right ankle and foot with involvement of other organs and Rheumatoid arthritis of left ankle and foot with involvement of other organs and * Rheumatoid arthritis of unspecified ankle and foot with involvement of other organs and Rheumatoid arthritis of multiple sites with involvement of

9 Other organs and Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems * Rheumatoid arthritis with rheumatoid factor of unspecified shoulder without organ or systems Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems * Rheumatoid arthritis with rheumatoid factor of unspecified elbow without organ or systems Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems * Rheumatoid arthritis with rheumatoid factor of unspecified wrist without organ or systems Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvementRheumatoid Arthritis (ICD-9-CM , )

10 Excludes Combination Codes that Include Neuropathy, Bursitis and Nodule Codes, and the Codes that Indicate Unspecified Site . (continued)*Codes with a greater degree of specificity should be consi