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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.
Causes. Facet syndrome can be caused by trauma, such as a whiplash injury of the neck. Abnormal postures can overload spinal tissues, including the facet joints, and cause inflammation and pain in these joints.More commonly, degenerative changes in the cervical, thoracic and lumbar spine can lead to abnormal stress and strain. Thoracic facet syndrome is less common than cervical and lumbar facet syndrome and is probably related to restricted motion at these levels due to the rigidity of the thoracic spine.