ICD-10 Coding for Spinal Stenosis with Neurogenic Claudication(M48.062)
Complete ICD-10-CM coding and documentation guide for Spinal Stenosis with Neurogenic Claudication. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Spinal Stenosis with Neurogenic Claudication
M48.06-M48.07Primary Range
Spinal stenosis, lumbar region
This range includes codes for lumbar spinal stenosis with and without neurogenic claudication.
Key Information: ICD-10 code for lumbar stenosis with neurogenic claudication
Essential facts and insights about Spinal Stenosis with Neurogenic Claudication
Primary ICD-10-CM Code for spinal stenosis with neurogenic claudication
Decision Criteria
clinical Criteria
- Presence of neurogenic claudication symptoms
documentation Criteria
- MRI findings of lumbar stenosis
Applicable To
- Lumbar stenosis with neurogenic claudication
Excludes
- Vascular claudication (I73.9)
Clinical Validation Requirements
- Leg pain worsening with walking/standing, relief with sitting
- MRI showing central canal stenosis
Code-Specific Risks
- Misclassification as vascular claudication
- Inadequate documentation of neurogenic symptoms
Coding Notes
- Ensure documentation specifies neurogenic claudication symptoms and correlates with imaging findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Nerve root and plexus compressions in diseases classified elsewhere
G55.3Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Spinal stenosis, lumbar region without neurogenic claudication
M48.061Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Spinal Stenosis with Neurogenic Claudication to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M48.062.
Impact
Clinical: Misdiagnosis of vascular claudication, Regulatory: Non-compliance with coding standards, Financial: Incorrect reimbursement
Mitigation Strategy
Educate clinicians on documentation standards, Use structured templates
Impact
Reimbursement: Potential for incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation includes neurogenic claudication symptoms.
Impact
Inadequate documentation may lead to audit failures.
Mitigation Strategy
Use detailed templates and clinician education.
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 Spinal Stenosis with Neurogenic Claudication, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Spinal Stenosis with Neurogenic Claudication
Use these documentation templates to ensure complete and accurate documentation for Spinal Stenosis with Neurogenic Claudication. These templates include all required elements for proper coding and billing.
Patient with lumbar stenosis and neurogenic claudication
Specialty: NeurologyRequired Elements
- Chief complaint
- History of present illness
- Physical examination
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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