### CPT Codes for ICD-10 M53.84 (Other Specified Dorsopathies, Thoracic Region)
#### 1. Lab/Diagnostic Procedures
For the diagnosis and evaluation of thoracic dorsopathies, the following CPT codes may be applicable:
- **72040** - Radiologic examination, spine, thoracic; 2 or 3 views
- **72041** - Radiologic examination, spine, thoracic; 4 or more views
- **72100** - MRI, spinal canal and contents, thoracic; without contrast material
- **72110** - MRI, spinal canal and contents, thoracic; with contrast material
- **72220** - Myelography, spinal canal, thoracic; with or without CT
#### 2. Treatment Procedures
Treatment for thoracic dorsopathies may include various interventions. Relevant CPT codes include:
- **97110** - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (per 15 minutes)
- **97112** - Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and proprioception (per 15 minutes)
- **97530** - Therapeutic activities, direct (one-on-one) patient contact, to improve functional performance (per 15 minutes)
- **20610** - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (if applicable for pain management)
- **64483** - Injection, anesthetic agent, thoracic paravertebral facet joint (if applicable for pain management)
#### 3. Follow-Up Codes
Follow-up visits for monitoring and management of thoracic dorsopathies can be coded as:
- **99213** - Established patient office visit, low to moderate complexity
- **99214** - Established patient office visit, moderate complexity
- **99215** - Established patient office visit, high complexity
- **99354** - Prolonged service in the office or other outpatient setting, requiring direct patient contact beyond the usual service (if applicable)
#### 4. Reimbursement Ranges
Reimbursement rates can vary significantly based on geographic location, payer contracts, and specific practice settings. However, general ranges for the listed CPT codes are as follows:
- **72040**: $50 - $100
- **72041**: $75 - $150
- **72100**: $300 - $600
- **72110**: $500 - $1,000
- **97110**: $30 - $60 per 15 minutes
- **97112**: $30 - $60 per 15 minutes
- **97530**: $30 - $60 per 15 minutes
- **20610**: $100 - $200
- **64483**: $150 - $300
- **99213**: $75 - $150
- **99214**: $100 - $200
- **99215**: $150 - $300
- **99354**: $50 - $100
#### 5. Billing Notes
- Ensure that documentation supports the medical necessity for each procedure billed.
- Use modifiers as appropriate (e.g., modifier -25 for significant, separately identifiable E/M service on the same day as a procedure).
- Verify payer-specific guidelines for coverage and reimbursement, as they may vary.
- Ensure that all services are coded to the highest level of specificity to avoid denials.
- Regularly review coding updates and payer policies to remain compliant with current regulations.
### Conclusion
When coding for ICD-10 M53.84, it is essential to select appropriate CPT codes that reflect the diagnostic and treatment services provided. Accurate coding not only facilitates proper reimbursement but also ensures compliance with healthcare regulations. Always refer to the most current coding manuals and payer guidelines for updates and changes.
