Neurogenic claudication help

tiffany.andrastiffany.andras
in CDI Talk Archive
Good morning

Do we code the neurogenic claudication or not?

This is the diagnosis from the operative report

1. Multilevel lumbar stenosis at L2-L5 with neurogenic claudication

Not sure, could not find any guidelines?
Opinions
Thanks

Tiffany Andras LPN CCS CCDS

Clinical Documentation Improvement
Thibodaux Regional Medical Center
602 North Acadia Road
Thibodaux, La. 70301
985-493-4593

Comments

  • jrileyjriley
    edited April 2016
    We also found that there is no way to capture the neurogenic claudication in I-10. It took 30 years to get that specificity in I-9 with 724.03 and it disappeared on Oct. 1st, go figure. We are asking providers to document any radiculopathy caused by the stenosis and then coding the radiculopathy. Not ideal but at least it captures that condition if present.

    Judy Riley, RHIT, CCS, AHIMA-Approved ICD-10 Trainer
    CDI/Coding Manager
    LRGHealthcare
    jriley@lrgh.org

  • tiffany.andrastiffany.andras
    edited April 2016
    Thanks for the input.

    Tiffany

    From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
    Sent: Monday, November 02, 2015 11:33 AM
    To: Tiffany Andras
    Subject: RE: [cdi_talk] Neurogenic claudication help

    We also found that there is no way to capture the neurogenic claudication in I-10. It took 30 years to get that specificity in I-9 with 724.03 and it disappeared on Oct. 1st, go figure. We are asking providers to document any radiculopathy caused by the stenosis and then coding the radiculopathy. Not ideal but at least it captures that condition if present.

    Judy Riley, RHIT, CCS, AHIMA-Approved ICD-10 Trainer
    CDI/Coding Manager
    LRGHealthcare
    jriley@lrgh.org

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