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The ICD-9 code for lumbar facet arthropathy is 721.3. Lumbar facet arthropathy is a degenerative condition of the lumbar facet joints in the spine which shows arthritic changes.
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What is the ICD-9 code for facet arthropathy?
Problem - There is no ICD-9-CM entry for Facet Arthropathy, so you must become Sherlock Holmes, and investigate. Investigation #1 - The ICD-9-CM Index directs those seeking "Arthropathy" to 716.9x, so you would code Facet Arthropathy as 716.98. This is a non-specific code. Investigation #2 - Arthropathy is defined as "Disease of a joint". If you look up "Disease, joint, spine" in the ICD-9-CM Index, you are directed to the 721.x Spondylosis codes. You can achieve a greater level of specificity with this code. Conclusion - A common diagnosis for Facet Joint Injections is Facet Arthropathy. Some states have Medicare LCDs for the Facet procedure, and they accept 721.x as a diagnosis, but not 716.98. Since you want to get paid, go with 721.x. Caution! In ICD9-CM, at the beginning of Chapter 13 you will see that codes 710-719 exclude disorders of the spine (720-724.9). I would not use 716.98.
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