ICD-9 and ICD-10 Codes

Disclaimer:  The information here is NOT meant to replace the sound advice of a billing and coding expert.

Below is a list of the most common ICD-9 codes (diagnosis codes) used in a physical medicine & rehabilitation (PM&R) and Spine pain management clinic.  The dramatic changes to the diagnostic coding (ICD-10 codes) that become effective October 2013 will be added gradually.  The most common codes are highlighted in blue.

Feel free to leave comments in the section below.

Head / Face

  • Headache/Head pain/Suboccipital headache:  784.0
  • Tension headache:  307.81
  • Spinal headache:  349.0
  • Cluster headache:  346.2
  • Occipital neuralgia/headache:  723.8
  • Trigeminal neuralgia:  350.1
  • Atypical facial pain:  350.2
  • Temporomandibular joint dysfunction:  524.60

Neck (Cervical Spine)

  • Cervicalgia (neck pain):  723.1
  • Cervical spondylosis w/o myelopathy:  721.0
  • Cervical spondylosis with myelopathy:  721.1
  • Cervical herniated disc w/o myelopathy:  722.0
  • Cervical herniated disc with myelopathy:  722.71
  • Cervical degenerative disc disease (C-DDD):  722.4
  • Cervical spinal stenosis:  723.0
  • Cervical radiculopathy (radiculitis):  723.4
  • Cervical failed back surgery syndrome (FBSS) or postlaminectomy syndrome:  722.81
  • Torticollis / Cervical dystonia:  723.5
  • Neck sprain:  847.0

Back (Thoracic, Lumbar, Sacral Spine)

  • Thoracic back pain:  724.1
  • Thoracic sprain:  847.1
  • Thoracic spondylosis w/o myelopathy:  721.2
  • Thoracic spondylosis with myelopathy:  721.41
  • Thoracic spinal stenosis:  724.01
  • Thoracic herniated disc:  722.11
  • Thoracic herniated disc with myelopathy:  722.72
  • Thoracic degenerated disc disease (T-DDD): 722.51
  • Thoracic radiculopathy: 724.4
  • Scoliosis (and kyphoscoliosis) – idiopathic:  737.30
  • Thoracic compression fracture (traumatic):  805.2
  • Vertebral fracture (pathologic):  733.13 [use for compression fractures secondary to a pre-existing condition such as osteoporosis, bone cysts/tumors, hemangiomas, Paget's, osteomyelitis, etc.]
  • Thoracic failed back surgery syndrome (FBSS) or postlaminectomy syndrome:  722.82
  • Syrinx (syringomyelia):  336.0
  • Diffuse idiopathic skeletal hyperostosis (DISH):  721.6
  • Low back pain (Lumbago):  724.2
  • Lumbar sprain:  847.2
  • Lumbar spondylosis w/o myelopathy:  721.3
  • Lumbar spondylosis with myelopathy:  721.42
  • Lumbar herniated disc:  722.10
  • Lumbar herniated disc with myelopathy:  721.42
  • Lumbosacral degenerated disc disease (LS-DDD): 722.52
  • Lumbar spinal stenosis:  724.02
  • Lumbar spinal stenosis with neurogenic claudication:  724.03
  • Sciatica:  724.3
  • Lumbar radiculopathy (radiculitis):  724.4
  • Lumbar failed back surgery syndrome (FBSS) or postlaminectomy syndrome:  722.83
  • Spondylolisthesis:  738.4
  • Spondylolysis (lumbosacral):  756.11
  • Lumbosacral plexopathy:  953.5
  • Epidural fibrosis:  349.2
  • Arachnoiditis (unspecified meningitis):  322.9
  • Sacroiliac joint syndrome or dysfunction:  720.2
  • Disorders of the sacrum (SIJ pain):  724.6
  • Coccydynia:  724.79
  • Lumbar compression fracture (traumatic):  805.4
  • Iliolumbar syndrome (lumbosacral ligament sprain):  846.0
  • Ribs (sprain): 848.3
  • Cluneal neuroma (and other unspecified neuromas/neuritis):  729.2

Shoulder

  • Osteoarthritis – shoulder (glenohumeral):  715.11
  • Osteoarthritis – shoulder region (acromioclavicular joint, sternoclavicular joint):  715.91
  • Shoulder pain:  719.41
  • Sternoclavicular joint sprain pain:  848.41
  • Subacromial bursitis:  726.10
  • Other shoulder bursitis’ (scapulothoracic bursitis):  726.19
  • Rotator cuff impingement (shoulder impingement):  726.2
  • Superior glenoid labral tear (shoulder labral tear):  840.7
  • Adhesive capsulitis (frozen shoulder):  726.0
  • Rotator cuff syndrome (sprain):  840.4
  • Rotator cuff tear (atraumatic):  727.61
  • Brachial plexopathy (atraumatic):  353.0
  • Brachial plexopathy (traumatic):  767.6
  • Bicipital (biceps) tendonitis:  726.12
  • Trigger points in trapezius:  723.9
  • Trigger points in levator/rhomboid:  726.19

Elbow

  • Elbow pain:  719.42
  • “Forearm” joint pain:  719.43
  • Medial epicondylitis (golfer’s elbow):  726.31
  • Lateral epicondylitis (tennis elbow):  726.32
  • Olecranon bursitis:  726.33
  • Osteoarthritis – elbow:  715.12
  • Median neuropathy (other than CTS): 354.1
  • Radial neuropathy:  354.3

Wrist / Hand

  • Hand/wrist joint pain:  719.44
  • Carpal tunnel syndrome:  354.0
  • Ulnar neuropathy (cubital tunnel syndrome):  354.2
  • Osteoarthritis – wrist:  715.13
  • Osteoarthritis – hand:  715.14
  • Trigger finger:  727.03
  • De Quervain’s tenosynovitis (radial styloid tenosynovitis):  727.04
  • Wrist drop (acquired):  736.05
  • Ganglion cyst:  727.4
  • Other sprains / strains of hand:  842.19
  • Disturbance of skin sensation (“numbness in hands/feet/anywhere”):  782.0

Other Upper Extremity

  • Complex regional pain syndrome type I (CRPS type 1):  337.21
  • Complex regional pain syndrome type II (CRPS type 2) – causalgia:  354.4

Pelvis / Hip / Thigh

  • Osteoarthritis – hip:  715.15
  • Hip pain:  719.45
  • Trochanteric bursitis (also ischial/gluteal bursitis):  726.5
  • Iliotibial band syndrome (other disorders of muscle, ligament, fascia):  728.89
  • Meralgia paresthetica (lateral femoral cutaneous neuropathy):  355.1
  • Femoral neuropathy:  355.2
  • Piriformis syndrome (mononeuritis):  355.9
  • Gluteus strain / buttock pain (sprains and strains of other specified sites of hip and thigh):  843.8
  • Hamstring sprain/strain:  843.9
  • Osteitis Pubis (osteitis condensans):  733.5

Knee

  • Osteoarthritis – knee:  715.16
  • Knee pain:  719.46
  • Medial meniscus tear (unspecified):  717.3
  • Lateral meniscus tear (unspecified):  717.40
  • Chondromalacia patella:  717.7
  • Other internal derangement (ligament injury) of knee:  717.89
  • Pes anserine bursitis/tendinitis:  726.61
  • Baker’s cyst:  727.50
  • Prepatellar bursitis:  726.65
  • Patellar tendinitis:  726.64
  • Peroneal neuropathy:  956.3

Ankle / Foot

  • Ankle/Foot pain:  719.47
  • Achilles tendinitis/bursitis:  726.71
  • Plantar fasciitis:  728.71
  • Morton’s neuroma:  355.6
  • Metatarsalgia:  726.70
  • Tarsal tunnel syndrome:  355.5

Other Lower Extremity

  • Phantom limb pain:  353.6
  • Complex regional pain syndrome type I (CRPS type 1):  337.22
  • Complex regional pain syndrome type II (CRPS type 2) – causalgia:  355.71
  • Post polio syndrome:  138

Rheumatologic

  • Rheumatoid arthritis:  714.0
  • Systemic lupus erythematosus (SLE):  710.0
  • Dermatomyositis:  710.3
  • Polymyositis:  710.4
  • Gout:  274.0
  • Ankylosing spondylitis (AS):  720.0
  • Polymyalgia rheumatica (PMR):  725

Psych

  • Depression:  311
  • Anxiety:  300.02
  • Insomnia:  780.52
  • Substance use disorder:  305.9
  • Idiopathic hypersomnia:  780.54
  • Restless leg syndrome:  333.39
  • Withdrawal syndrome:  292.0
  • Factitious disorder:  300.19
  • Somatoform disorder:  300.81
  • Histrionic personality disorder:  301.5
  • Borderline personality disorder:  301.83

Miscellaneous

  • Osteoarthritis – traumatic:  716.1
  • Spasticity:  781.0
  • Muscle spasm:  728.85
  • Myofascial pain / Fibromyalgia:  729.1
  • Chronic pain syndrome:  338.4
  • Gait abnormality:  781.2
  • Poor balance:  719.7
  • Osteoporosis:  733.00
  • Costochondritis:  733.6
  • Ribs (sprain):  848.3
  • Ribs (closed fracture; Google for specific code relating to the number of ribs):  807.0
  • Ribs (open fracture):  807.1
  • Tendinitis NOS:  726.90
  • Compartment syndrome:  958.8
  • Costovertebral joint pain:  739.8
  • Peripheral neuropathy:  356.9
  • Numbness of skin (“Disturbance of skin sensation”):  782.0
  • Diabetic amyotrophy (neuralgic amyotrophy):  353.5
  • Diabetic peripheral neuropathy:  250.6
  • Neuralgia, neuritis, radiculitis (unspecified):  729.2
  • Gastroesophageal reflux (GERD):  530.81
  • Testosterone deficiency:  257.2
  • Vitamin D deficiency:  268.9
  • Constipation:  564
  • Nausea:  787.02
  • Urinary retention:  788.2
  • Obesity:  278.0
  • Edema:  782.3
  • Intercostal neuralgia:  353.8
  • Post-thoracotomy syndrome:  338.22
  • Post-herpetic neuralgia:  053.10
  • Peripheral vascular disease (PVD):  443.9
  • Disuse atrophy:  728.2

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