Question Patient Diagnosed Explained for Students (Easy Guide)

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Original Question

Question: A patient is diagnosed with bilateral lower sacroiliac degenerative joint disease (DJD). When referencing the Index to Diseases under Degenerative, joint disease, ICD-10-CM directs the coding professional to see “Osteoarthritis.” However, the Index to Diseases does not specifically classify osteoarthritis (OA) of the sacroiliac joint. What is the appropriate code assignment for bilateral lower sacroiliac degenerative joint disease (DJD)? Answer: Assign code M46.1, Sacroiliitis, not elsewhere classified. DJD of the sacroiliac joint is caused by degeneration, leading to inflammation of the sacroiliac joint. Currently, the ICD-10-CM does not have a unique code for DJD of the sacroiliac joint; therefore, code M46.1 is the closest available alternative. The National Centers for Health Statistics has agreed to consider a future ICD-10 Coordination and Maintenance (C&M) proposal for creation of a new code for DJD/osteoarthritis of the sacroiliac joint.

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