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FY2027
M54.16: Radiculopathy, lumbar region
Radiculopathy of the lumbar region is coded M54.16. What the record must document, how spinal region drives the code choice, and the codes excluded from it.
The ICD-10-CM code for lumbar radiculopathy when the provider documents irritation or compression of a lumbar nerve root producing radicular pain, numbness or weakness. No intervertebral disc disorder or spondylosis is documented as the cause.
Lumbar Radiculopathy ICD-10 Code M54.16 | Commure
M25.562: Pain in left knee
Pain in the left knee is coded M25.562. What the record must document, how laterality drives the code choice, and when a definitive diagnosis replaces it.
The ICD-10-CM code for left knee pain when a provider documents pain in the left knee and no underlying pathological condition has been identified.
Left Knee Pain ICD-10 Code M25.562 | Commure
M25.551: Pain in right hip
Pain in the right hip is coded M25.551. What the record must document, how laterality drives the code choice, and when a definitive diagnosis replaces it.
The ICD-10-CM code for right hip pain when the presenting complaint or documented finding is pain in the right hip without an established specific underlying diagnosis at the time of the encounter.
Right Hip Pain ICD-10 Code M25.551 | Commure
I10: Essential (primary) hypertension
Essential hypertension is coded I10. What the record must document, when a combination code from I11 to I13 applies instead, and its risk-adjustment status.
The ICD-10-CM code for essential hypertension when blood pressure is elevated without an identified secondary cause and without documented heart disease or chronic kidney disease that would call for a combination code.
Hypertension ICD-10 Code I10 | Commure
R74.01: Elevation of levels of liver transaminase levels
Elevated liver transaminases are coded R74.01. What the record must document, how it differs from R74.02 and R74.8, and when a definitive diagnosis replaces it.
The ICD-10-CM code for elevated liver enzymes when a laboratory report documents an ALT or AST above the reference range and no underlying diagnosis has yet been established to explain the finding.
Elevated Liver Enzymes ICD-10 Code R74.01 | Commure
N39.0: Urinary tract infection, site not specified
A urinary tract infection with no site specified is coded N39.0. What the record must show, the organism code to add, and when a site-specific code applies.
The ICD-10-CM code for a urinary tract infection when the provider has documented the infection but has not specified the anatomic site: bladder, urethra or kidney.
UTI ICD-10 Code N39.0 | Commure
K21.9: Gastro-esophageal reflux disease without esophagitis
GERD without esophagitis is coded K21.9. What the record must document, how it differs from K21.00 with esophagitis, and the codes to consider instead.
The ICD-10-CM code for GERD when the clinical record does not document associated esophagitis.
GERD ICD-10 Code K21.9 | Commure
J44.9: Chronic obstructive pulmonary disease, unspecified
COPD is coded J44.9 when no exacerbation, infection or specified type is documented. What the record must show, and when to step up to J44.0 or J44.1.
The ICD-10-CM code for COPD when the encounter documentation does not specify an acute infection, an exacerbation, or another specified type such as bronchiolitis obliterans.
COPD ICD-10 Code J44.9 | Commure
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