Group A Diagnoses
Covered for:
307.81
|
Tension headache
|
719.48*
|
Pain in joint, other specified
sites
|
Note: When using 719.48*, you must specify spine as the site.
|
|
723.1
|
Cervicalgia
|
724.1–724.2
|
Other and unspecified disorders of
back
|
724.5
|
Backache, unspecified
|
724.8
|
Other symptoms referable to back
|
728.85
|
Spasm of muscle
|
784.0
|
Headache
|
Group B Diagnoses
Covered for:
720.1
|
Spinal enthesopathy
|
721.0–721.2
|
Spondylosis and allied disorders
(arthritis, osteoarthritis, spondyloarthritis)
|
721.6
|
Ankylosing vertebral hyperostosis
|
721.90–721.91
|
Spondylosis of unspecified site
|
724.79
|
Disorders of coccyx, coccygodynia
|
729.1
|
Myalgia and myositis, unspecified
|
729.4
|
Fasciitis, unspecified
|
846.0–846.3
|
Sprains and strains of sacroiliac
region
|
846.8
|
Sprains and strains of other
specified sites of sacroiliac region
|
847.0–847.4
|
Sprains and strains of other and
unspecified parts of back
|
Group C Diagnoses
Covered for:
353.0–353.4
|
Nerve root and plexus disorders
|
353.8
|
Other nerve root and plexus
disorders
|
722.91–722.93
|
Other and unspecified disc
disorder
|
723.0
|
Spinal stenosis in cervical region
|
723.2–723.5
|
Other disorders of cervical region
|
Group D Diagnoses
Covered for:
721.3
|
Lumbosacral spondylosis without
myelopathy
|
721.41–721.42
|
Lumbosacral spondylosis with
myelopathy
|
721.7
|
Traumatic spondylopathy
|
722.0
|
Displacement of cervical
intervertebral disc without myelopathy
|
722.10–722.11
|
Displacement of thoracic or lumbar
intervertebral disc without myelopathy
|
722.4
|
Degeneration of cervical
intervertebral disc
|
722.51–722.52
|
Degeneration of thoracic or lumbar
intervertebral disc
|
722.6
|
Degeneration of intervertebral
disc site unspecified
|
722.81–722.83
|
Postlaminectomy syndrome
|
724.01–724.03
|
Spinal stenosis, other than
cervical
|
724.3–724.4
|
Other and unspecified disorders of
back
|
724.6
|
Disorders of sacrum, ankylosis
|
738.4
|
Acquired spondylolisthesis
|
756.11–756.12
|
Anomalies of spine
|
839.01–839.08
|
Other, multiple and ill-defined
dislocations, cervical vertebra,
|
839.20–839.21
|
Other, multiple and ill-defined
dislocations, thoracic and lumbar vertebra, closed
|
839.41–839.42
|
Other, multiple and ill-defined
dislocations, other vertebra, closed
|
953.0–953.4
|
Injury to nerve roots and spinal
plexus
|
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