D49.2

Clinical notes

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

ICD-9-CM equivalent

Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.

• 2392

Associated MS-DRGs

D49.2 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 456Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
• DRG 457Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC
• DRG 458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
• DRG 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
• DRG 565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
• DRG 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC