Appendix table 1 – icd-9 Codes used to Identify Low Back Pain



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APPENDIX TABLE 1 – ICD-9 Codes used to Identify Low Back Pain


Code

Description

Code

Description

721.3

Lumbosacral spondylosis without myelopathy

724.5

Backache, unspecified

722.1

Lumbar disc displacement

756.11

Spondylolysis, lumbosacral region

722.52

Lumbar/ lumbosacral disc displacement

756.12

Spondylolesthesis

722.73

Lumbar disc disease with myelopathy

846.0

Sprain - lumbosacral

722.93

Other disc disorder – lumbar region

846.1

Sprain - sacroiliac

724.02

Spinal stenosis-lumbar

846.8

Sprain – other specified sites of sacroiliac region

724.2

Lumbago

846.9

Sprain – unspecified site of sacroiliac region

724.3

Sciatica

847.2

Sprain – lumbar region

724.4

Thoracic or lumbosacral neuritis or radiculitis, unspecified

847.3

Sprain – sacrum


APPENDIX TABLE 2 - ICD-9 codes used to Identify Non-Musculoskeletal Reasons for Low Back Pain


ICD-9 code

Description

592.xx

Calculus of kidney

574.2

Calculus of gallbladder without mention of cholecystitis

599.0

Urinary tract infection, site not specified

V13.02

Urinary (tract) infection

140.xx – 239.xx

Neoplasms

V17.81, V82.81

Osteoporosis

344.6

Cauda equine syndrome

730.xx

Osteomyelitis, periostitis, and other infections involving bone

731.3

Major osseous deficit



APPENDIX TABLE 3 - CPT-4 codes used to Identify Prior Surgery for Low Back Pain


Code

Description

00630

Anesthesia for procedures in lumbar region; not otherwise specified.

00670

Anesthesia for extensive spine and spinal cord procedures.

20930

Allograft for spine surgery only; morselized.

20936

Autograft for spine surgery only; local, obtained from same incision.

22102

Partial excision of posterior vertebral component for intrinsic bony lesion, single segment; lumbar.

22103

Partial excision of posterior vertebral component for intrinsic bony lesion, single segment; each additional segment.

22224

Osteotomy of spine, including diskectomy, anterior approach, single segment; lumbar.

22226

Osteotomy of spine, including diskectomy, anterior approach, single segment; each additional segment.

22558

Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace; lumbar.

22585

Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace; each additional interspace.

22612

Arthrodesis, posterior or posterolateral technique, single level; lumbar

22630

Arthrodesis, posterior interbody technique, single interspace; lumbar

22802

Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments.

22840

Insert spine fixation device

22842 – 22844

Posterior segmental instrumentation; 3 – 6 vertebral segments thru 13 or more segments

22851

Apply spine prosthetic device

62287

Aspiration procedure, percutaneous, of nucleus pulposus of intervertebral disk, any method, single or multiple levels, lumbar.

63005

Laminectomy with exploration and/or decompression of spinal cord and/or cauda equine, without facetectomy, foraminotomy or diskectomy, (eg, spinal stenosis), one or two vertebral segments; lumbar, except for spondylolisthesis.

63011, 63012

Laminectomy with exploration and/or decompression of spinal cord and/or cauda equine, without facetectomy, foraminotomy or diskectomy, one or two vertebral segments; sacral or lumbar

63030

Laminotomy with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; one interspace, lumbar.

63035

Laminotomy with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; each additional interspace, cervical or lumbar.

63042

Laminotomy with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk, re-exploration; lumbar.

63047

Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda quine and/or nerve root(s)) , single vertebral segment; lumbar.

63048

Removal of spine lamina – add-on

63088 – 63091

Vertebral corpectomy, partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equine or nerve root(s), lower thoracic or lumbar; each additional segment.

63185, 63190

Laminectomy with rhizotomy

63200

Laminectomy, with release of tethered spinal cord, lumbar.

63267, 63272

Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural or intradural; lumbar.

63290

Laminectomy for biopsy/excision of intraspinal neoplasm; combined extra-intradural lesion, any level.

63303

Vertebral corpectomy, partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach.

63047

Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equine and/or nerve root(s)) , single vertebral segment; lumbar.

63048

Removal of spine lamina – add-on

64622

Destruction by neurolytic agent; paravertebral facet joint nerve, lumbar, single level.

64623

Destruction by neurolytic agent; paravertebral facet joint nerve, lumbar, each additional level.

APPENDIX TABLE 4 - ICD-9 codes used to Identify Co-Morbid Conditions


Code

Description

CO-MORBID MENTAL HEALTH CONDITIONS

296.xx

Affective psychoses

297.xx

Delusional disorders

298.xx

Other nonorganic psychoses

300.xx

Neurotic disorders

301.xx

Personality disorders

308.xx

Acute reaction to stress

309.xx

Adjustment reaction

311.xx

Depressive disorders, not elsewhere classified

CO-MORBID NECK / THORACIC PAIN:

721.0

Cervical spondylosis without myelopathy

721.1

Cervical spondylosis with myelopathy

721.2

Thoracic spondylosis without myelopathy

721.41

Spondylogenic compression of thoracic spinal cord

722.0

Displacement of cervical intervertebral disc without myelopathy

722.4

Degeneration of cervical intervertebral disc

722.51

Intervertebral disc disorder, thoracic or thoracolumbar region

722.71

intervertebral disc disorder without myelopathy – cervical

722.72

Intervertebral disc disorder without myelopathy, thoracic region

722.81

Post-laminectomy syndrome - cervical

722.91

other unspecified disc disorder – cervical region

723.xx

Other disorders of cervical region

724.1

Pain in thoracic spine

739.1

Non-allopathic lesions not otherwise specified – cervical region

805

Fracture of cervical spine without spinal cord injury

847.0

Sprains and strains of other, unspecified part of the back - neck

953.0

Injury to nerve root and spinal plexus - cervical

954.0

Injury to other nerves of trunk - cervical

CO-MORBID FIBROMYALGIA

729.1

Myalgia and myositis, unspecified







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