providers by facilitating treatment authorization and claims payment. The use of valid and appropriate codes also supports the necessity of the services in cases of file review, audit or litigation. Based on ChiroCare's commitment to program integrity and excellence, only valid and appropriate ICD9 codes will be accepted. Submission of terminated or invalid ICD9 codes will result in processing and/or payment delays. To help simplify the coding process a list of commonly used and accepted ICD9 codes is provided below. This list is not intended to represent all ICD9 codes accepted by ChiroCare however it can be used as a guide in your coding process. In addition to the validity of ICD9 codes being reported, they must support the type and level of all services being billed. For example, if a patient has been diagnosed with multiple conditions requiring treatment in several spinal and/or extremity regions the diagnosis code(s) reported on the claim form must represent each of the different body regions requiring treatment. In addition, to remain consistent with the ICD9 CM Official Guidelines for Coding and Reporting, please list the diagnosis/condition primarily responsible for the treatment in the primary position on the claim form. ChiroCare further recommends that the secondary, tertiary and quaternary diagnosis positions on the claim form be used to report additional conditions/regions that are being treated. ICD9 Diagnosis Code Code Description Cervical Diagnoses 353.0 Brachial plexus lesions 353.2 Cervical root lesions, not elsewhere classified 722.0 Displacement of cervical intervertebral disc without myelopathy 722.81 Postlaminectomy syndrome, cervical region 723.3 Cervicobrachial syndrome (diffuse) 723.4 Brachial neuritis or radiculitis NOS 721.0 Cervical spondylosis without myelopathy 722.4 Degeneration of cervical intervertebral disc 723.0 Spinal stenosis of cervical region 723.1 Cervicalgia 723.5 Torticollis, unspecified 723.8 Other syndromes affecting cervical region 723.9 Unspecified musculoskeletal disorders and symptoms referable to neck 739.0 Nonallopathic lesions, head region 739.1 Nonallopathic lesions, cervical region 839.00 Dislocation of cervical vertebra, unspecified, closed 839.01 Dislocation of first cervical vertebra, closed 839.02 Dislocation of second cervical vertebra, closed 839.03 Dislocation of third cervical vertebra, closed 839.04 Dislocation of fourth cervical vertebra, closed 839.05 Dislocation of fifth cervical vertebra, closed 839.06 Dislocation of sixth cervical vertebra, closed 839.07 Dislocation of seventh cervical vertebra, closed 839.08 Dislocation of multiple cervical vertebrae, closed 847.0 Sprains and strains of neck
Headache Diagnoses 307.81 Tension headache 346.00 Classical migraine without intractable migraine 346.01 Classical migraine with intractable migraine 346.10 Common migraine without intractable migraine 346.11 Common migraine with intractable migraine 346.20 Variants of migraine without intractable migraine 346.21 Variants of migraine with intractable migraine 346.80 Other forms of migraine without intractable migraine 346.81 Other forms of migraine with intractable migraine 346.90 Migraine, unspecified, without intractable migraine 346.91 Migraine, unspecified, with intractable migraine 784.0 Headache Thoracic/Rib Cage Diagnoses 353.3 Thoracic root lesions, not elsewhere classified 721.2 Thoracic spondylosis without myelopathy 722.11 Thoracic intervertebral disc without myelopathy 722.31 Schmorl's nodes, thoracic region 722.51 Degeneration of thoracic or thoracolumbar intervertebral disc 722.82 Postlaminectomy syndrome, thoracic region 724.01 Spinal stenosis, thoracic region 724.1 Pain in thoracic spine 733.6 Tietze's disease 739.2 Nonallopathic lesions, thoracic region 739.8 Nonallopathic lesions, rib cage 839.21 Dislocation of thoracic vertebra, closed 839.61 Dislocation of sternum, closed 847.1 Sprains and strains of thoracic 848.3 Sprains and strains of ribs 848.40 Sprains and strains of sternum, unspecified site 848.41 Sprains and strains of sternum, sternoclavicular 848.42 Sprains and strains of sternum, chondrosternal 848.49 Sprains and strains of sternum, other
Lumbosacral Diagnoses 353.1 Lumbosacral plexus lesions 353.4 Lumbosacral root lesions, not elsewhere classified 355.0 Lesion of sciatic nerve 722.10 Lumbar intervertebral disc without myelopathy 722.52 Degeneration of lumbar or lumbosacral intervertebral disc 722.83 Postlaminectomy syndrome, lumbar region 724.3 Sciatica 724.4 Thoracic or lumbosacral neuritis or radiculitis, unspecified 720.2 Sacroiliitis, not elsewhere classified 721.3 Lumbosacral spondylosis without myelopathy 722.32 Schmorl's nodes, lumbar region 724.02 Spinal stenosis, lumbar region 724.2 Lumbago 724.5 Backache, unspecified 724.6 Disorders of sacrum 724.70 Disorders of coccyx unspecified 724.79 Disorders of coccyx, other 724.8 Other symptoms referable to back 724.9 Other unspecified back disorders 733.5 Osteitis condensans 738.4 Acquired spondylolisthesis 739.3 Nonallopathic lesions, lumbar region 739.4 Nonallopathic lesions, sacral region 739.5 Nonallopathic lesions, pelvic region 756.11 Spondylolysis, lumbosacral region 756.12 Spondylolisthesis 839.20 Dislocation of lumbar vertebra, closed 839.41 Dislocation of coccyx, closed 839.42 Dislocation of sacrum, closed 846.0 Sprains and strains of lumbosacral (joint) (ligament) 846.1 Sprains and strains of sacroiliac ligament 846.2 Sprains and strains of sacrospinatus (ligament) 846.3 Sprains and strains of sacrotuberous (ligament) 846.8 Sprains and strains of other specified sites of sacroiliac region 846.9 Sprains and strains of unspecified site of sacroiliac region 847.2 Sprains and strains of lumbar 847.3 Sprains and strains of sacrum 847.4 Sprains and strains of coccyx 848.5 Sprains and strains of pelvis
Lower Extremity Diagnoses 355.1 Meralgia paresthetica 355.2 Other lesion of femoral nerve 355.3 Lesion of lateral popliteal nerve 355.4 Lesion of medial popliteal nerve 355.5 Tarsal tunnel syndrome 355.6 Lesion of plantar nerve 715.15 Osteoarthrosis, localized, primary, pelvic region and thigh 715.16 Osteoarthrosis, localized, primary, lower leg 715.17 Osteoarthrosis, localized, primary, ankle and foot 715.25 Osteoarthrosis, localized, secondary, pelvic region and thigh 715.26 Osteoarthrosis, localized, secondary, lower leg 715.27 Osteoarthrosis, localized, secondary, ankle and foot 715.35 Osteoarthrosis, localized, not specified whether primary or secondary pelvic region and thigh 715.36 Osteoarthrosis, localized, not specified whether primary or secondary lower leg 715.37 Osteoarthrosis, localized, not specified whether primary or secondary ankle and foot 715.95 Osteoarthrosis, unspecified whether generalized or localized pelvic region and thigh 715.96 Osteoarthrosis, unspecified whether generalized or localized lower leg 715.97 Osteoarthrosis, unspecified whether generalized or localized ankle and foot 716.65 Unspecified monoarthritis, pelvic region and thigh 716.66 Unspecified monoarthritis, lower leg 716.67 Unspecified monoarthritis, ankle and foot 716.85 Other specified arthropathy, pelvic region and thigh 716.86 Other specified arthropathy, lower leg 716.87 Other specified arthropathy ankle and foot 716.95 Arthropathy, unspecified, pelvic region and thigh 716.96 Arthropathy, unspecified lower leg 716.97 Arthropathy, unspecified, ankle and foot 717.0 Old bucket handle tear of medial meniscus 717.1 Derangement of anterior horn of medial meniscus 717.2 Derangement of posterior horn of medial meniscus 717.3 Other and unspecified derangement of medial meniscus 717.40 Derangement of lateral meniscus unspecified 717.41 Bucket handle tear of lateral meniscus 717.42 Derangement of anterior horn of lateral meniscus 717.43 Derangement of posterior horn of lateral meniscus 717.6 Loose body in knee 717.7 Chondromalacia of patella 717.81 Old disruption of lateral collateral ligament 717.82 Old disruption of medial collateral ligament 717.83 Old disruption of anterior cruciate ligament 717.84 Old disruption of posterior cruciate ligament
Lower Extremity Diagnoses (Continued...) 718.15 Loose body in joint, pelvic region and thigh 718.17 Loose body in joint, ankle and foot 719.45 Pain in joint, pelvic region and thigh 719.46 Pain in joint, lower leg 719.47 Pain in joint, ankle and foot 719.65 Other symptoms referable to joint, pelvic region and thigh 719.66 Other symptoms referable to joint, lower leg 719.67 Other symptoms referable to joint, ankle and foot 726.5 Enthesopathy of hip region 726.60 Enthesopathy of knee, unspecified 726.61 Pes anserinus tendinitis or bursitis 726.62 Tibial collateral ligament bursitis 726.63 Fibular collateral ligament bursitis 726.64 Patellar tendinitis 726.65 Prepatellar bursitis 726.69 Enthesopathy of knee, unspecified, other 726.70 Enthesopathy of ankle and tarsus unspecified 726.71 Achilles bursitis or tendinitis 726.72 Tibialis tendinitis 726.73 Calcaneal spur 726.79 Enthesopathy of ankle and tarsus, other 727.06 Tenosynovitis of foot and ankle 728.71 Plantar fascial fibromatosis 729.4 Fasciitis, unspecified 733.92 Chondromalacia 739.6 Nonallopathic lesions, lower extremity 843.0 Sprains and strains of Iliofemoral (ligament) 843.1 Sprains and strains of Ischiocapsular (ligament) 843.8 Sprains and strains of other specified sites of hip and thigh 843.9 Sprains and strains of unspecified site of hip and thigh 844.0 Sprains and strains of lateral collateral ligament 844.1 Sprains and strains of medial collateral ligament 844.2 Sprains and strains of cruciate ligament of knee 844.3 Sprains and strains of tibiofibular (joint) (ligament) 844.8 Sprains and strains of other specified sites of knee and leg 844.9 Sprains and strains of unspecified site of knee and leg 845.00 Sprains and strains of ankle, unspecified site 845.01 Sprains and strains of deltoid (ligament), ankle 845.02 Sprains and strains of calcaneofibular (ligament) 845.03 Sprains and strains of tibiofibular (ligament), distal 845.09 Sprains and strains of ankle, other 845.10 Sprains and strains of foot, unspecified 845.11 Sprains and strains of tarsometatarsal (joint) (ligament) 845.12 Sprains and strains of metatarsophalangeal (joint) 845.13 Sprains and strains of interphalangeal (joint), toe 845.19 Sprains and strains of foot, other
Upper Extremity Diagnoses 354.0 Carpal tunnel syndrome 354.1 Other lesion of median nerve 354.2 Lesion of ulnar nerve 354.3 Lesion of radial nerve 715.04 Osteoarthrosis, generalized, hand 715.11 Osteoarthrosis, localized, primary, shoulder 715.12 Osteoarthrosis, localized, primary, upper arm 715.13 Osteoarthrosis, localized, primary, forearm 715.14 Osteoarthrosis, localized, primary, hand 715.21 Osteoarthrosis, localized, secondary, shoulder region 715.22 Osteoarthrosis, localized, secondary, upper arm 715.23 Osteoarthrosis, localized, secondary, forearm 715.24 Osteoarthrosis, localized, secondary, hand 715.31 Osteoarthrosis, localized, not specified whether primary or secondary shoulder 715.32 Osteoarthrosis, localized, not specified whether primary or secondary upper arm 715.33 Osteoarthrosis, localized, not specified whether primary or secondary forearm 715.34 Osteoarthrosis, localized, not specified whether primary or secondary hand 715.91 Osteoarthrosis, unspecified whether generalized or localized shoulder 715.92 Osteoarthrosis, unspecified whether generalized or localized upper arm 715.93 Osteoarthrosis, unspecified whether generalized or localized forearm 715.94 Osteoarthrosis, unspecified whether generalized or localized hand 716.61 Unspecified monoarthritis, shoulder region 716.62 Unspecified monoarthritis, upper arm region 716.63 Unspecified monoarthritis, forearm region 716.64 Unspecified monoarthritis, hand 716.81 Other specified arthropathy, shoulder region 716.82 Other specified arthropathy, upper arm region 716.83 Other specified arthropathy, forearm region 716.84 Other specified arthropathy, hand 716.91 Arthropathy, unspecified, shoulder region 716.92 Arthropathy, unspecified, upper arm 716.93 Arthropathy, unspecified, forearm 716.94 Arthropathy, unspecified, hand 718.11 Loose body in joint, shoulder region 718.12 Loose body in joint, upper arm 718.13 Loose body in joint, forearm 718.14 Loose body in joint, hand 719.41 Pain in joint, shoulder region 719.42 Pain in joint, upper arm 719.43 Pain in joint, forearm 719.44 Pain in joint hand 719.61 Other symptoms referable to joint, shoulder region
Upper Extremity Diagnoses (Continued…) 719.63 Other symptoms referable to joint, forearm 719.64 Other symptoms referable to joint, hand 726.0 Adhesive capsulitis of shoulder 726.10 Disorders of bursae and tendons in shoulder region 726.11 Calcifying tendinitis of shoulder 726.12 Bicipital tenosynovitis 726.19 Rotator cuff syndrome of shoulder and allied disorder 726.30 Enthesopathy of elbow, unspecified 726.31 Medial epicondylitis 726.32 Lateral epicondylitis 726.33 Olecranon bursitis 726.39 Enthesopathy of elbow region, other 726.4 Enthesopathy of wrist and carpus 727.04 Radial styloid tenosynovitis 727.05 Other tenosynovitis of hand and wrist 739.7 Nonallopathic lesions, upper extremity 840.0 Sprains and strains of , acromioclavicular (joint) 840.1 Sprains and strains of coracoclavicular (ligament) 840.2 Sprains and strains of coracohumeral (ligament) 840.3 Sprains and strains of infraspinatus (muscle) (tendon) 840.4 Sprains and strains of rotator cuff (capsule) 840.5 Sprains and strains of subscapularis (muscle) 840.6 Sprains and strains of supraspinatus (muscle) (tendon) 840.7 Sprains and strains of superior glenoid labrum lesion 840.8 Sprains and strains of other specified sites of shoulder and upper arm 840.9 Sprains and strains of unspecified site of shoulder and upper arm 841.0 Sprains and strains of radial collateral ligament 841.1 Sprains and strains of ulnar collateral ligament 841.2 Sprains and strains of radiohumeral (joint) 841.3 Sprains and strains of ulnohumeral (joint) 841.8 Sprains and strains of other specified sites of elbow 841.9 Sprains and strains of unspecified site of elbow and forearm 842.00 Sprains and strains of wrist, unspecified site 842.01 Sprains and strains of carpal (joint) 842.02 Sprains and strains of radiocarpal (joint) (ligament) 842.09 Sprains and strains of wrist, other 842.10 Sprains and strains of hand unspecified 842.11 Sprains and strains of carpometacarpal (joint) 842.12 Sprains and strains of metacarpophalangeal (joint) 842.13 Sprains and strains of interphalangeal (joint) 842.19 Sprains and strains of hand, other
Nonspecific Diagnoses 718.18 Loose body in joint, other specified sites 720.0 Ankylosing spondylitis 727.00 Synovitis and tenosynovitis, unspecified 727.09 Synovitis and tenosynovitis, other 727.42 Ganglion of tendon sheath 722.2 Displacement of intervertebral disc, site unspecified 722.6 Degeneration of intervertebral disc, site unspecified 724.00 Spinal stenosis, unspecified region 737.30 Scoliosis [and kyphoscoliosis], idiopathic 839.49 Dislocation of verterbra, other, closed 728.85 Spasm of muscle 729.1 Myalgia and myositis, unspecified 905.7 Late effect of sprain and strain without mention of tendon injury
