Osteoarthritis of finger joint of left hand.Osteoarthritis of bilateral sacroiliac joints.Osteoarthritis of bilateral midtarsal joints.Osteoarthritis of bilateral first mtp joints.

Localized, primary osteoarthritis of the pelvic region and thigh.Arthritis of bilateral sacroiliac joints.

Monita Turpin is a coding analyst at 3M Health Information Systems. This is a major change that some will say has not completely colored in the grey area for “degenerative changes” because the provider did not specify “joint disease ” however, we must code based upon guidelines and when guidelines are not clear, we must go to Coding Clinic for guidance. What is the correct code assignment for advanced degenerative changes of both hips when documented in the final impression section of an outpatient radiology report?Īccording to Coding Clinic: “Assign code M16.0-Bilateral primary osteoarthritis of hip for degenerative changes of hips”.Ĭoding Clinic’s rationale is, “ICD-10- CM’s Alphabetic Index under “Degeneration, joint disease” instructs “see Osteoarthritis.” The question that was submitted to Coding Clinic was: The provider documented “degenerative changes of the left knee” in the impression, and the clinical indication was left knee pain. So, let’s revisit the scenario with the clarification from Coding Clinic: The day before my blog was published, I received notification of an updated Coding Clinic, Second Quarter ICD-10 2018 Page: 15 Effective with discharges: J.

In my last blog, I wrote about the conundrum of assigning ICD-10-CM code when providers only document “degenerative changes.” Guest blog by Monita Turpin, coding analyst at 3M Health Information Systems.

Icd 10 code for osteoarthritis