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Problem - There is no ICD-9-CM entry for Facet Arthropathy, so you must become Sherlock Holmes, and investigate.

Investigation #1 - The ICD-9-CM Index directs those seeking "Arthropathy" to 716.9x, so you would code Facet Arthropathy as 716.98. This is a non-specific code.

Investigation #2 - Arthropathy is defined as "Disease of a joint". If you look up "Disease, joint, spine" in the ICD-9-CM Index, you are directed to the 721.x Spondylosis codes. You can achieve a greater level of specificity with this code.

Conclusion - A common diagnosis for Facet Joint Injections is Facet Arthropathy. Some states have Medicare LCDs for the Facet procedure, and they accept 721.x as a diagnosis, but not 716.98. Since you want to get paid, go with 721.x.

Caution! In ICD9-CM, at the beginning of Chapter 13 you will see that codes 710-719 exclude disorders of the spine (720-724.9). I would not use 716.98.

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Q: What is the ICD-9 code for facet arthropathy?
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