Q: We had another question come in on chiropractic medical coding for ICD-10, says, “I am a recent recipient of my coding certification (July) and have recently began working for a chiropractic office. I was hoping there would be some insight on whether the ICD-10 codes will still be the same for these areas. Has anyone heard anything? Thanks!”
A: In the past, there was a little set, there were some specific codes for chiropractors and it’s actually changed that now they’re the same, it’s all integrated in the same. So, the comment, what I went in and did was I found a fantastic website for common chiropractic codes, went in and looked at them and it was long, it was really long. I forgot that link there, but if you Google “common chiropractic codes,” that will come up. I pulled out some of the ones that were on this list, it was all divided up. In fact, Cheryl has, I see that in the questions, she has got it there www.chiro.org and then there are some other things, but fantastic website with common codes. So, I pulled some of the ones that I thought would be common; then, I coded them in ICD-9, then I coded them in ICD-10.
Let’s look at a few of those so you can get an idea of how the codes are set up. The more you’re exposed to ICD-10, the easier it feels. The first one: migraine without aura. This is the way it reads in ICD-9: 364.10 – without mention of intractable migraine without mention of status migrainosus. And then in ICD-10, it’s going to be: G43.009 and this would also be migraine without aura, not otherwise specified.
ICD 10 Codes for Chiropractic Medical Coding – Video
The wording is just about the same, but you’ll notice with your ICD-10 codes, it starts with a letter and you have two characters before the decimal, and then you can have multiple characters after that. The great thing about ICD-10 is you’ll not run out of numbers or spaces because you can just keep going and going and going, and then sometimes you’ll see a letter at the end, an “A” or an “S.”
Another one: 739.0 – nonallopathic lesion, head region; M99.00 – segmental and somatic dysfunction of head region. See how the wording is a little bit different? 719.51 – stiffness of joint not elsewhere classified, shoulder region. Then, in ICD-10 we have M25.619 – stiffness of unspecified shoulder, not elsewhere classified. Now, what’s interesting about this, in ICD-9 you can’t tell whether it’s left or right shoulder, you’d have to put a modifier on there. With ICD-10, this is unspecified shoulder because we were using this code here; but it actually would say left shoulder, right shoulder, bilateral or unspecified. Just like in ICD-9 you have unspecified codes and they often end in the number 9.
Boyd: What does “G” mean? There was a question that just came in. What the letters in the beginning mean.
Alicia: The letters go alphabetically, they divided the systems up and they actually start with “A” – now I think about that, I better go look – but they go alphabetical and sometimes they line up and sometimes they don’t. Meaning, OB codes start with an “O,” isn’t that interesting? The codes that are doing muscle or the musculoskeletal system starts with an “M.” Cancer codes start with a “C.” Now, it doesn’t always line up like that but –
Boyd: How about B?
Alicia: Infectious and parasitic diseases. You know what, the chapters didn’t really change, do you think that was funny, Boyd?