ICD-10 Coding for Intercostal Muscle Spasm(M62.838, R07.82)
Complete ICD-10-CM coding and documentation guide for Intercostal Muscle Spasm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intercostal Muscle Spasm
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M62.838 | Other muscle spasm | Use when there is a confirmed intercostal muscle spasm without underlying trauma. |
|
| R07.82 | Intercostal pain | Use when pain is localized to intercostal spaces without confirmed spasm. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for intercostal muscle spasm
Essential facts and insights about Intercostal Muscle Spasm
Primary ICD-10-CM Codes for intercostal muscles spasm
Decision Criteria
clinical Criteria
- Presence of palpable muscle rigidity and pain with movement.
coding Criteria
- Differentiate from back muscle spasm (M62.830).
Applicable To
- Intercostal muscle spasm
Excludes
- Back muscle spasm (M62.830)
Clinical Validation Requirements
- Palpable muscle rigidity
- Pain with movement
- Physical exam findings
Code-Specific Risks
- Misclassification with back muscle spasm
- Omission of associated symptoms
Coding Notes
- Ensure documentation specifies 'intercostal muscle spasm' to avoid misclassification.
R07.82 - Intercostal pain
Use when pain is localized to intercostal spaces without confirmed spasm.
Applicable To
- Pain localized to intercostal spaces
Excludes
- Chest pain NOS (R07.9)
Clinical Validation Requirements
- Localized pain in intercostal spaces
- Tenderness on palpation
Coding Notes
Ensure pain is specifically documented as intercostal.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intercostal Muscle Spasm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M62.838.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'intercostal spasm'., Include detailed physical exam findings.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always document and code the underlying muscle spasm if present.
Impact
Risk of coding intercostal pain without specifying spasm.
Mitigation Strategy
Ensure thorough documentation of muscle spasm.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Intercostal Muscle Spasm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intercostal Muscle Spasm
Use these documentation templates to ensure complete and accurate documentation for Intercostal Muscle Spasm. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- Location of spasm
- Quality of spasm
- Provocation and relief factors
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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