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723.8 states CERVICAL SYNDROME NEC so many coders will use this code for cervical facet syndrome. 724.8 since the location in the ICD9 it reflects lower back so some coders use this for Lumber facet syndrome, but many LCDs tell us to use 724.8 for ALL facet syndrome Levels.
Laterality: This is a new guideline as bilateral codes do not exist in ICD-9-CM, but in ICD-10-CM, some codes contain laterality in the code. The guideline state that if no bilateral code exists and the condition is bilateral, two codes must be assigned (one for right and one for left) to report the complete condition. For example, a patient has bilateral carpal tunnel syndrome. The codes for carpal tunnel syndrome do not include a bilateral code.