ICD10 coding updates on October 1, 2024, for the 2025 diagnosis coding year. Note the changes occur on October 1 and any dates of service after 10-1 will require the use of the updated codes. If the date of service was prior, then use the old code regardless of the date of billing

 Here is a quick summary of the code updates relevant to acupuncture coding and reimbursement. Many will see these as non-common codes but often with referral or care as subsequent care provider these codes may be utilized.

You will note lumbar and lumbosacral disc degeneration codes update to 5 characters and codes are more granular to describe discogenic back pain only, pain in the leg only, pain in the back and leg, or no mention of pain.

 There is also a new code for dysfunction of the multifidus muscles of the lumbar spine and codes for greater specificity of tenosynovitis.

Lumbar Disc

•              Deleted: 

•              M51.36     Other intervertebral disc degeneration, lumbar region

•              Added:

•              M51.360  Other intervertebral disc degeneration, lumbar region with discogenic back pain

•              M51.361  Other intervertebral disc degeneration, lumbar region with lower extremity pain only

•              M51.362  Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain

•              M51.369  Other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity pain

Lumbosacral Disc

•              Deleted:   

•              M51. 37   Other intervertebral disc degeneration, lumbosacral region

•              Added: 

•              M51.370  Other intervertebral disc degeneration, lumbosacral region with discogenic back pain only

•              M51.371  Other intervertebral disc degeneration, lumbosacral region with lower extremity pain only

•              M51.372  Other intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity pain

•              M51.379  Other intervertebral disc degeneration, lumbosacral region without mention of lumbar back pain or lower extremity

•              Added

•              M62.85   Dysfunction of the multifidus muscles, lumbar region

Extremities

•              Deleted

•              M65.9    Synovitis and tenosynovitis, unspecified

•              Added

•              M6590   Unspecified synovitis and tenosynovitis, unspecified site

•              M65911  Unspecified synovitis and tenosynovitis, right shoulder

•              M65912  Unspecified synovitis and tenosynovitis, left shoulder

•              M65.919  Unspecified synovitis and tenosynovitis, unspecified shoulder

•              M65.921  Unspecified synovitis and tenosynovitis, right upper arm

•              M65.922  Unspecified synovitis and tenosynovitis, left upper arm

•              M65.929  Unspecified synovitis and tenosynovitis, unspecified upper arm

•              M65.931  Unspecified synovitis and tenosynovitis, right forearm

•              M65.932  Unspecified synovitis and tenosynovitis, left forearm

•              M65.939  Unspecified synovitis and tenosynovitis, unspecified forearm

•              M65.941  Unspecified synovitis and tenosynovitis, right hand

•              M65.942  Unspecified synovitis and tenosynovitis, left hand

•              M65.949  Unspecified synovitis and tenosynovitis, unspecified hand

•              M65.951  Unspecified synovitis and tenosynovitis, right thigh

•              M65.952  Unspecified synovitis and tenosynovitis, left thigh

•              M65.959  Unspecified synovitis and tenosynovitis, unspecified thigh

•              M65.961  Unspecified synovitis and tenosynovitis, right lower leg

•              M65.962  Unspecified synovitis and tenosynovitis, left lower leg

•              M65.969  Unspecified synovitis and tenosynovitis, unspecified lower leg

•              M65.971  Unspecified synovitis and tenosynovitis, right ankle and foot

•              M65.972  Unspecified synovitis and tenosynovitis, left ankle and foot

•              M65.979  Unspecified synovitis and tenosynovitis, unspecified ankle and foot

•              M65.98   Unspecified synovitis and tenosynovitis, other site

•              M65.99   Unspecified synovitis and tenosynovitis, multiple sites

ICD-10CM 2025 Updates Starting October 1, 2024


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