ICD-10 Coding for Torticollis(M43.6, G24.3, Q68.0)
Complete ICD-10-CM coding and documentation guide for Torticollis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Torticollis
M43.6Primary Range
Other acquired deformities of neck
This range includes codes for unspecified torticollis, often used when the specific type is not identified.
G24.3Primary Range
Spasmodic torticollis
This range is specific to spasmodic torticollis, a form of cervical dystonia characterized by involuntary muscle contractions.
Congenital deformities of sternocleidomastoid muscle
This range is used for congenital muscular torticollis, typically identified in infants.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M43.6 | Other acquired deformities of neck | Use when torticollis is acquired and not specified as spasmodic or congenital. |
|
| G24.3 | Spasmodic torticollis | Use for spasmodic torticollis characterized by involuntary muscle contractions. |
|
| Q68.0 | Congenital deformities of sternocleidomastoid muscle | Use for congenital torticollis identified in infants with SCM mass. |
|
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 spasmodic torticollis
Essential facts and insights about Torticollis
Primary ICD-10-CM Codes for torticollis
Decision Criteria
clinical Criteria
- Presence of acquired neck deformity without spasmodic features
Applicable To
- Acquired torticollis
Excludes
- Spasmodic torticollis (G24.3)
Clinical Validation Requirements
- Clinical examination showing neck stiffness and rotation limitation
- Imaging ruling out congenital or spinal pathology
Code-Specific Risks
- Confusion with spasmodic torticollis (G24.3)
- Incorrect use without proper clinical validation
Coding Notes
- Ensure documentation specifies acquired nature and excludes spasmodic features.
G24.3 - Spasmodic torticollis
Use for spasmodic torticollis characterized by involuntary muscle contractions.
Applicable To
- Cervical dystonia
Excludes
- Other acquired torticollis (M43.6)
Clinical Validation Requirements
- EMG confirming dystonic activity
- Clinical documentation of intermittent neck spasms
Coding Notes
Ensure spasmodic nature is documented with clinical evidence.
Q68.0 - Congenital deformities of sternocleidomastoid muscle
Use for congenital torticollis identified in infants with SCM mass.
Applicable To
- Congenital muscular torticollis
Excludes
- Acquired torticollis (M43.6)
Clinical Validation Requirements
- Ultrasound showing SCM fibrosis
- Palpable SCM mass in infants
Coding Notes
Document congenital onset and SCM mass for accurate coding.
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 Torticollis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M43.6.
Impact
Clinical: Inadequate clinical picture, Regulatory: Potential audit issues, Financial: Delayed reimbursement
Mitigation Strategy
Always document the side affected, Use templates to ensure completeness
Impact
Reimbursement: Incorrect DRG assignment affecting payment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure spasmodic features are documented and use G24.3
Impact
Using M43.6 for spasmodic torticollis
Mitigation Strategy
Educate staff on differentiation criteria
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 Torticollis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Torticollis
Use these documentation templates to ensure complete and accurate documentation for Torticollis. These templates include all required elements for proper coding and billing.
Pediatric evaluation for congenital torticollis
Specialty: PediatricsRequired Elements
- History of onset
- Physical examination findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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