ICD-10 Coding for Tethered Cord Syndrome(Q06.8, G99.2)
Complete ICD-10-CM coding and documentation guide for Tethered Cord Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tethered Cord Syndrome
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Q06.8 | Other congenital malformations of spinal cord | Use for congenital tethered cord syndrome without other neural tube defects. |
|
| G99.2 | Myelopathy in diseases classified elsewhere | Use for acquired tethered cord syndrome due to post-surgical scarring. |
|
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 tethered cord syndrome
Essential facts and insights about Tethered Cord Syndrome
Primary ICD-10-CM Codes for tethered cord
Decision Criteria
clinical Criteria
- Presence of congenital thickened filum terminale on imaging
documentation Criteria
- MRI findings and clinical symptoms must be documented
Applicable To
- Primary tethered cord without concurrent myelomeningocele/spina bifida
Excludes
- Acquired tethered cord syndrome
Clinical Validation Requirements
- MRI showing low-lying conus medullaris below L2
- Thickened filum terminale
Code-Specific Risks
- Misclassification as acquired tethered cord
Coding Notes
- Ensure documentation specifies congenital origin to avoid misclassification.
G99.2 - Myelopathy in diseases classified elsewhere
Use for acquired tethered cord syndrome due to post-surgical scarring.
Applicable To
- Acquired tethered cord syndrome
Excludes
- Congenital tethered cord syndrome
Clinical Validation Requirements
- Post-surgical adhesions causing cord tethering
Coding Notes
Ensure documentation specifies acquired nature to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tethered Cord Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q06.8.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation Strategy
Review surgical history thoroughly, Document any previous spinal surgeries
Impact
Reimbursement: Incorrect DRG assignment leading to overpayment or underpayment., Compliance: Potential for audit discrepancies., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies the etiology of the tethered cord.
Impact
Incorrect sequencing of primary and secondary diagnoses.
Mitigation Strategy
Ensure primary structural anomaly is coded first, followed by manifestations.
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 Tethered Cord Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tethered Cord Syndrome
Use these documentation templates to ensure complete and accurate documentation for Tethered Cord Syndrome. These templates include all required elements for proper coding and billing.
Pediatric Primary Tethered Cord
Specialty: Pediatric NeurosurgeryRequired Elements
- Symptoms
- Imaging results
- Surgical findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Tethered Cord Syndrome? Ask your questions below.