Notification

Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies


Notification Issue Date: 04/04/2018



Policy Attachment



Attachment to Policy # 05.00.74c


Attachment:A

Policy #:05.00.74c

Description:ICD 10 Codes

Title:Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



E0720 AND E0730 ARE EXPERIMENTAL/INVESTIGATIONAL WHEN REPORTED WITH THE FOLLOWING DIAGNOSIS CODES:

G43.001 Migraine without aura, not intractable, with status migrainosus

G43.009 Migraine without aura, not intractable, without status migrainosus

G43.011 Migraine without aura, intractable, with status migrainosus

G43.019 Migraine without aura, intractable, without status migrainosus

G43.101 Migraine with aura, not intractable, with status migrainosus

G43.109 Migraine with aura, not intractable, without status migrainosus

G43.111 Migraine with aura, intractable, with status migrainosus

G43.119 Migraine with aura, intractable, without status migrainosus

G43.401 Hemiplegic migraine, not intractable, with status migrainosus

G43.409 Hemiplegic migraine, not intractable, without status migrainosus

G43.411 Hemiplegic migraine, intractable, with status migrainosus

G43.419 Hemiplegic migraine, intractable, without status migrainosus

G43.501 Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus

G43.509 Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus

G43.511 Persistent migraine aura without cerebral infarction, intractable, with status migrainosus

G43.519 Persistent migraine aura without cerebral infarction, intractable, without status migrainosus

G43.601 Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus

G43.609 Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus

G43.611 Persistent migraine aura with cerebral infarction, intractable, with status migrainosus

G43.619 Persistent migraine aura with cerebral infarction, intractable, without status migrainosus

G43.701 Chronic migraine without aura, not intractable, with status migrainosus

G43.709 Chronic migraine without aura, not intractable, without status migrainosus

G43.711 Chronic migraine without aura, intractable, with status migrainosus

G43.719 Chronic migraine without aura, intractable, without status migrainosus

G43.801 Other migraine, not intractable, with status migrainosus

G43.809 Other migraine, not intractable, without status migrainosus

G43.811 Other migraine, intractable, with status migrainosus

G43.819 Other migraine, intractable, without status migrainosus

G43.821 Menstrual migraine, not intractable, with status migrainosus

G43.829 Menstrual migraine, not intractable, without status migrainosus

G43.831 Menstrual migraine, intractable, with status migrainosus

G43.839 Menstrual migraine, intractable, without status migrainosus

G43.901 Migraine, unspecified, not intractable, with status migrainosus

G43.909 Migraine, unspecified, not intractable, without status migrainosus

G43.911 Migraine, unspecified, intractable, with status migrainosus

G43.919 Migraine, unspecified, intractable, without status migrainosus

G43.A1 Cyclical vomiting, intractable

G43.B0 Ophthalmoplegic migraine, not intractable

G43.B1 Ophthalmoplegic migraine, intractable

G43.C0 Periodic headache syndromes in child or adult, not intractable

G43.C1 Periodic headache syndromes in child or adult, intractable

G44.001 Cluster headache syndrome, unspecified, intractable

G44.009 Cluster headache syndrome, unspecified, not intractable

G44.011 Episodic cluster headache, intractable

G44.019 Episodic cluster headache, not intractable

G44.021 Chronic cluster headache, intractable

G44.029 Chronic cluster headache, not intractable

G44.031 Episodic paroxysmal hemicrania, intractable

G44.039 Episodic paroxysmal hemicrania, not intractable

G44.041 Chronic paroxysmal hemicrania, intractable

G44.049 Chronic paroxysmal hemicrania, not intractable

G44.051 Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), intractable

G44.059 Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), not intractable

G44.091 Other trigeminal autonomic cephalgias (TAC), intractable

G44.099 Other trigeminal autonomic cephalgias (TAC), not intractable

G44.1 Vascular headache, not elsewhere classified

G44.201 Tension-type headache, unspecified, intractable

G44.209 Tension-type headache, unspecified, not intractable

G44.211 Episodic tension-type headache, intractable

G44.219 Episodic tension-type headache, not intractable

G44.221 Chronic tension-type headache, intractable

G44.229 Chronic tension-type headache, not intractable

G44.301 Post-traumatic headache, unspecified, intractable

G44.309 Post-traumatic headache, unspecified, not intractable

G44.311 Acute post-traumatic headache, intractable

G44.319 Acute post-traumatic headache, not intractable

G44.321 Chronic post-traumatic headache, intractable

G44.329 Chronic post-traumatic headache, not intractable

G44.40 Drug-induced headache, not elsewhere classified, not intractable

G44.41 Drug-induced headache, not elsewhere classified, intractable

G44.51 Hemicrania continua

G44.52 New daily persistent headache (NDPH)

G44.53 Primary thunderclap headache

G44.59 Other complicated headache syndrome

G44.81 Hypnic headache

G44.82 Headache associated with sexual activity

G44.83 Primary cough headache

G44.84 Primary exertional headache

G44.85 Primary stabbing headache

G44.89 Other headache syndrome

G97.1 Other reaction to spinal and lumbar puncture

M26.621 Arthralgia of right temporomandibular joint

M26.622 Arthralgia of left temporomandibular joint

M26.623 Arthralgia of bilateral temporomandibular joint

M26.629 Arthralgia of temporomandibular joint, unspecified side

M40.36 Flatback syndrome, lumbar region

M40.37 Flatback syndrome, lumbosacral region

M40.46 Postural lordosis, lumbar region

M40.47 Postural lordosis, lumbosacral region

M40.56 Lordosis, unspecified, lumbar region

M40.57 Lordosis, unspecified, lumbosacral region

M41.26 Other idiopathic scoliosis, lumbar region

M41.27 Other idiopathic scoliosis, lumbosacral region

M41.56 Other secondary scoliosis, lumbar region

M41.57 Other secondary scoliosis, lumbosacral region

M42.16 Adult osteochondrosis of spine, lumbar region

M42.17 Adult osteochondrosis of spine, lumbosacral region

M43.06 Spondylolysis, lumbar region

M43.07 Spondylolysis, lumbosacral region

M43.16 Spondylolisthesis, lumbar region

M43.17 Spondylolisthesis, lumbosacral region

M43.26 Fusion of spine, lumbar region

M43.27 Fusion of spine, lumbosacral region

M43.5X6 Other recurrent vertebral dislocation, lumbar region

M43.5X7 Other recurrent vertebral dislocation, lumbosacral region

M43.8X6 Other specified deforming dorsopathies, lumbar region

M43.8X7 Other specified deforming dorsopathies, lumbosacral region

M47.16 Other spondylosis with myelopathy, lumbar region

M47.26 Other spondylosis with radiculopathy, lumbar region

M47.27 Other spondylosis with radiculopathy, lumbosacral region

M47.816 Spondylosis without myelopathy or radiculopathy, lumbar region

M47.817 Spondylosis without myelopathy or radiculopathy, lumbosacral region

M47.896 Other spondylosis, lumbar region

M47.897 Other spondylosis, lumbosacral region

M48.061 Spinal stenosis, lumbar region without neurogenic claudication

M48.062 Spinal stenosis, lumbar region with neurogenic claudication

M48.07 Spinal stenosis, lumbosacral region

M48.16 Ankylosing hyperostosis [Forestier], lumbar region

M48.17 Ankylosing hyperostosis [Forestier], lumbosacral region

M48.26 Kissing spine, lumbar region

M48.27 Kissing spine, lumbosacral region

M48.36 Traumatic spondylopathy, lumbar region

M48.37 Traumatic spondylopathy, lumbosacral region

M48.8X6 Other specified spondylopathies, lumbar region

M48.8X7 Other specified spondylopathies, lumbosacral region

M51.06 Intervertebral disc disorders with myelopathy, lumbar region

M51.16 Intervertebral disc disorders with radiculopathy, lumbar region

M51.17 Intervertebral disc disorders with radiculopathy, lumbosacral region

M51.26 Other intervertebral disc displacement, lumbar region

M51.27 Other intervertebral disc displacement, lumbosacral region

M51.36 Other intervertebral disc degeneration, lumbar region

M51.37 Other intervertebral disc degeneration, lumbosacral region

M51.46 Schmorl's nodes, lumbar region

M51.47 Schmorl's nodes, lumbosacral region

M51.86 Other intervertebral disc disorders, lumbar region

M51.87 Other intervertebral disc disorders, lumbosacral region

M53.2X6 Spinal instabilities, lumbar region

M53.2X7 Spinal instabilities, lumbosacral region

M53.86 Other specified dorsopathies, lumbar region

M53.87 Other specified dorsopathies, lumbosacral region

M54.16 Radiculopathy, lumbar region

M54.17 Radiculopathy, lumbosacral region

M54.30 Sciatica, unspecified side

M54.31 Sciatica, right side

M54.32 Sciatica, left side

M54.40 Lumbago with sciatica, unspecified side

M54.41 Lumbago with sciatica, right side

M54.42 Lumbago with sciatica, left side

M54.5 Low back pain

R10.10 Upper abdominal pain, unspecified

R10.11 Right upper quadrant pain

R10.12 Left upper quadrant pain

R10.13 Epigastric pain

R10.2 Pelvic and perineal pain

R10.30 Lower abdominal pain, unspecified

R10.31 Right lower quadrant pain

R10.32 Left lower quadrant pain

R10.33 Periumbilical pain

R51 Headache

S32.000A Wedge compression fracture of unspecified lumbar vertebra, initial encounter for closed fracture

S32.000B Wedge compression fracture of unspecified lumbar vertebra, initial encounter for open fracture

S32.000D Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing

S32.000G Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.000K Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion

S32.000S Wedge compression fracture of unspecified lumbar vertebra, sequela

S32.001A Stable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture

S32.001B Stable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture

S32.001D Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing

S32.001G Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.001K Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion

S32.001S Stable burst fracture of unspecified lumbar vertebra, sequela

S32.002A Unstable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture

S32.002B Unstable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture

S32.002D Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing

S32.002G Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.002K Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion

S32.002S Unstable burst fracture of unspecified lumbar vertebra, sequela

S32.008A Other fracture of unspecified lumbar vertebra, initial encounter for closed fracture

S32.008B Other fracture of unspecified lumbar vertebra, initial encounter for open fracture

S32.008D Other fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing

S32.008G Other fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.008K Other fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion

S32.008S Other fracture of unspecified lumbar vertebra, sequela

S32.009A Unspecified fracture of unspecified lumbar vertebra, initial encounter for closed fracture

S32.009B Unspecified fracture of unspecified lumbar vertebra, initial encounter for open fracture

S32.009D Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing

S32.009G Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.009K Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion

S32.009S Unspecified fracture of unspecified lumbar vertebra, sequela

S32.010A Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture

S32.010B Wedge compression fracture of first lumbar vertebra, initial encounter for open fracture

S32.010D Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing

S32.010G Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.010K Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion

S32.010S Wedge compression fracture of first lumbar vertebra, sequela

S32.011A Stable burst fracture of first lumbar vertebra, initial encounter for closed fracture

S32.011B Stable burst fracture of first lumbar vertebra, initial encounter for open fracture

S32.011D Stable burst fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing

S32.011G Stable burst fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.011K Stable burst fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion

S32.011S Stable burst fracture of first lumbar vertebra, sequela

S32.012A Unstable burst fracture of first lumbar vertebra, initial encounter for closed fracture

S32.012B Unstable burst fracture of first lumbar vertebra, initial encounter for open fracture

S32.012D Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing

S32.012G Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.012K Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion

S32.012S Unstable burst fracture of first lumbar vertebra, sequela

S32.018A Other fracture of first lumbar vertebra, initial encounter for closed fracture

S32.018B Other fracture of first lumbar vertebra, initial encounter for open fracture

S32.018D Other fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing

S32.018G Other fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.018K Other fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion

S32.018S Other fracture of first lumbar vertebra, sequela

S32.019A Unspecified fracture of first lumbar vertebra, initial encounter for closed fracture

S32.019B Unspecified fracture of first lumbar vertebra, initial encounter for open fracture

S32.019D Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing

S32.019G Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.019K Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion

S32.019S Unspecified fracture of first lumbar vertebra, sequela

S32.020A Wedge compression fracture of second lumbar vertebra, initial encounter for closed fracture

S32.020B Wedge compression fracture of second lumbar vertebra, initial encounter for open fracture

S32.020D Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing

S32.020G Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.020K Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion

S32.020S Wedge compression fracture of second lumbar vertebra, sequela

S32.021A Stable burst fracture of second lumbar vertebra, initial encounter for closed fracture

S32.021B Stable burst fracture of second lumbar vertebra, initial encounter for open fracture

S32.021D Stable burst fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing

S32.021G Stable burst fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.021K Stable burst fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion

S32.021S Stable burst fracture of second lumbar vertebra, sequela

S32.022A Unstable burst fracture of second lumbar vertebra, initial encounter for closed fracture

S32.022B Unstable burst fracture of second lumbar vertebra, initial encounter for open fracture

S32.022D Unstable burst fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing

S32.022G Unstable burst fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.022K Unstable burst fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion

S32.022S Unstable burst fracture of second lumbar vertebra, sequela

S32.028A Other fracture of second lumbar vertebra, initial encounter for closed fracture

S32.028B Other fracture of second lumbar vertebra, initial encounter for open fracture

S32.028D Other fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing

S32.028G Other fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.028K Other fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion

S32.028S Other fracture of second lumbar vertebra, sequela

S32.029A Unspecified fracture of second lumbar vertebra, initial encounter for closed fracture

S32.029B Unspecified fracture of second lumbar vertebra, initial encounter for open fracture

S32.029D Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing

S32.029G Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.029K Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion

S32.029S Unspecified fracture of second lumbar vertebra, sequela

S32.030A Wedge compression fracture of third lumbar vertebra, initial encounter for closed fracture

S32.030B Wedge compression fracture of third lumbar vertebra, initial encounter for open fracture

S32.030D Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing

S32.030G Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.030K Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion

S32.030S Wedge compression fracture of third lumbar vertebra, sequela

S32.031A Stable burst fracture of third lumbar vertebra, initial encounter for closed fracture

S32.031B Stable burst fracture of third lumbar vertebra, initial encounter for open fracture

S32.031D Stable burst fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing

S32.031G Stable burst fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.031K Stable burst fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion

S32.031S Stable burst fracture of third lumbar vertebra, sequela

S32.032A Unstable burst fracture of third lumbar vertebra, initial encounter for closed fracture

S32.032B Unstable burst fracture of third lumbar vertebra, initial encounter for open fracture

S32.032D Unstable burst fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing

S32.032G Unstable burst fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.032K Unstable burst fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion

S32.032S Unstable burst fracture of third lumbar vertebra, sequela

S32.038A Other fracture of third lumbar vertebra, initial encounter for closed fracture

S32.038B Other fracture of third lumbar vertebra, initial encounter for open fracture

S32.038D Other fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing

S32.038G Other fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.038K Other fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion

S32.038S Other fracture of third lumbar vertebra, sequela

S32.039A Unspecified fracture of third lumbar vertebra, initial encounter for closed fracture

S32.039B Unspecified fracture of third lumbar vertebra, initial encounter for open fracture

S32.039D Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing

S32.039G Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.039K Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion

S32.039S Unspecified fracture of third lumbar vertebra, sequela

S32.040A Wedge compression fracture of fourth lumbar vertebra, initial encounter for closed fracture

S32.040B Wedge compression fracture of fourth lumbar vertebra, initial encounter for open fracture

S32.040D Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.040G Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.040K Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.040S Wedge compression fracture of fourth lumbar vertebra, sequela

S32.041A Stable burst fracture of fourth lumbar vertebra, initial encounter for closed fracture

S32.041B Stable burst fracture of fourth lumbar vertebra, initial encounter for open fracture

S32.041D Stable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.041G Stable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.041K Stable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.041S Stable burst fracture of fourth lumbar vertebra, sequela

S32.042A Unstable burst fracture of fourth lumbar vertebra, initial encounter for closed fracture

S32.042B Unstable burst fracture of fourth lumbar vertebra, initial encounter for open fracture

S32.042D Unstable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.042G Unstable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.042K Unstable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.042S Unstable burst fracture of fourth lumbar vertebra, sequela

S32.048A Other fracture of fourth lumbar vertebra, initial encounter for closed fracture

S32.048B Other fracture of fourth lumbar vertebra, initial encounter for open fracture

S32.048D Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.048G Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.048K Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.048S Other fracture of fourth lumbar vertebra, sequela

S32.049A Unspecified fracture of fourth lumbar vertebra, initial encounter for closed fracture

S32.049B Unspecified fracture of fourth lumbar vertebra, initial encounter for open fracture

S32.049D Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.049G Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.049K Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.049S Unspecified fracture of fourth lumbar vertebra, sequela

S32.050A Wedge compression fracture of fifth lumbar vertebra, initial encounter for closed fracture

S32.050B Wedge compression fracture of fifth lumbar vertebra, initial encounter for open fracture

S32.050D Wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.050G Wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.050K Wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.050S Wedge compression fracture of fifth lumbar vertebra, sequela

S32.051A Stable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture

S32.051B Stable burst fracture of fifth lumbar vertebra, initial encounter for open fracture

S32.051D Stable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.051G Stable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.051K Stable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.051S Stable burst fracture of fifth lumbar vertebra, sequela

S32.052A Unstable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture

S32.052B Unstable burst fracture of fifth lumbar vertebra, initial encounter for open fracture

S32.052D Unstable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.052G Unstable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.052K Unstable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.052S Unstable burst fracture of fifth lumbar vertebra, sequela

S32.058A Other fracture of fifth lumbar vertebra, initial encounter for closed fracture

S32.058B Other fracture of fifth lumbar vertebra, initial encounter for open fracture

S32.058D Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.058G Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.058K Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.058S Other fracture of fifth lumbar vertebra, sequela

S32.059A Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture

S32.059B Unspecified fracture of fifth lumbar vertebra, initial encounter for open fracture

S32.059D Unspecified fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing

S32.059G Unspecified fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing

S32.059K Unspecified fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion

S32.059S Unspecified fracture of fifth lumbar vertebra, sequela

S33.0XXA Traumatic rupture of lumbar intervertebral disc, initial encounter

S33.0XXD Traumatic rupture of lumbar intervertebral disc, subsequent encounter

S33.0XXS Traumatic rupture of lumbar intervertebral disc, sequela

S33.100A Subluxation of unspecified lumbar vertebra, initial encounter

S33.100D Subluxation of unspecified lumbar vertebra, subsequent encounter

S33.100S Subluxation of unspecified lumbar vertebra, sequela

S33.101A Dislocation of unspecified lumbar vertebra, initial encounter

S33.101D Dislocation of unspecified lumbar vertebra, subsequent encounter

S33.101S Dislocation of unspecified lumbar vertebra, sequela

S33.110A Subluxation of L1/L2 lumbar vertebra, initial encounter

S33.110D Subluxation of L1/L2 lumbar vertebra, subsequent encounter

S33.110S Subluxation of L1/L2 lumbar vertebra, sequela

S33.111A Dislocation of L1/L2 lumbar vertebra, initial encounter

S33.111D Dislocation of L1/L2 lumbar vertebra, subsequent encounter

S33.111S Dislocation of L1/L2 lumbar vertebra, sequela

S33.120A Subluxation of L2/L3 lumbar vertebra, initial encounter

S33.120D Subluxation of L2/L3 lumbar vertebra, subsequent encounter

S33.120S Subluxation of L2/L3 lumbar vertebra, sequela

S33.121A Dislocation of L2/L3 lumbar vertebra, initial encounter

S33.121D Dislocation of L2/L3 lumbar vertebra, subsequent encounter

S33.121S Dislocation of L2/L3 lumbar vertebra, sequela

S33.130A Subluxation of L3/L4 lumbar vertebra, initial encounter

S33.130D Subluxation of L3/L4 lumbar vertebra, subsequent encounter

S33.130S Subluxation of L3/L4 lumbar vertebra, sequela

S33.131A Dislocation of L3/L4 lumbar vertebra, initial encounter

S33.131D Dislocation of L3/L4 lumbar vertebra, subsequent encounter

S33.131S Dislocation of L3/L4 lumbar vertebra, sequela

S33.140A Subluxation of L4/L5 lumbar vertebra, initial encounter

S33.140D Subluxation of L4/L5 lumbar vertebra, subsequent encounter

S33.140S Subluxation of L4/L5 lumbar vertebra, sequela

S33.141A Dislocation of L4/L5 lumbar vertebra, initial encounter

S33.141D Dislocation of L4/L5 lumbar vertebra, subsequent encounter

S33.141S Dislocation of L4/L5 lumbar vertebra, sequela

S33.5XXA Sprain of ligaments of lumbar spine, initial encounter

S33.5XXD Sprain of ligaments of lumbar spine, subsequent encounter

S33.5XXS Sprain of ligaments of lumbar spine, sequela

S33.6XXA Sprain of sacroiliac joint, initial encounter

S33.6XXD Sprain of sacroiliac joint, subsequent encounter

S33.6XXS Sprain of sacroiliac joint, sequela

S34.21XA Injury of nerve root of lumbar spine, initial encounter

S34.21XD Injury of nerve root of lumbar spine, subsequent encounter

S34.21XS Injury of nerve root of lumbar spine, sequela

S34.22XA Injury of nerve root of sacral spine, initial encounter

S34.22XD Injury of nerve root of sacral spine, subsequent encounter

S34.22XS Injury of nerve root of sacral spine, sequela

S39.002A Unspecified injury of muscle, fascia and tendon of lower back, initial encounter

S39.002D Unspecified injury of muscle, fascia and tendon of lower back, subsequent encounter

S39.002S Unspecified injury of muscle, fascia and tendon of lower back, sequela

S39.012A Strain of muscle, fascia and tendon of lower back, initial encounter

S39.012D Strain of muscle, fascia and tendon of lower back, subsequent encounter

S39.012S Strain of muscle, fascia and tendon of lower back, sequela

S39.022A Laceration of muscle, fascia and tendon of lower back, initial encounter

S39.022D Laceration of muscle, fascia and tendon of lower back, subsequent encounter

S39.022S Laceration of muscle, fascia and tendon of lower back, sequela

S39.092A Other injury of muscle, fascia and tendon of lower back, initial encounter

S39.092D Other injury of muscle, fascia and tendon of lower back, subsequent encounter

S39.092S Other injury of muscle, fascia and tendon of lower back, sequela

Z00.6 Encounter for examination for normal comparison and control in clinical research program

Version Effective Date: 05/07/2018
Version Issued Date: 05/07/2018
Version Reissued Date: N/A



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