ICD-10-CM Diagnosis code M53.1

Cervicobrachial syndrome

Code Details

Body System Diseases of the musculoskeletal system
Chronic Condition No

Coding Guidelines for M53.1

M53.1 is a valid ICD-10-CM diagnosis code meaning 'Cervicobrachial syndrome'.

Separate Conditions Not Covered By M53.1

These conditions are is not covered by M53.1:

  • cervical disc disorder (M50.-)
  • thoracic outlet syndrome (G54.0)

A patient may have both conditions at the same time, but both conditions must be coded separately.

Complications & Comorbid Conditions (CC/MCC) Rules for M53.1

M53.1 is not a CC or MCC.

DRG Mapping Rules for M53.1

Diagnostic codes are the first step in the DRG mapping process.

The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is M53.1, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.

From there, check the subsections of the MDC listed. The patient will be mapped into the first subsection for which the treatment performed on the patient meet the listed requirements of that subsection.

DRG grouping rules are adjusted each year, so make sure to check the rules for the fiscal year of the patient's discharge date.

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