The ICD-10 code for costochondritis is M94.0, which identifies Chondrocostal Junction Syndrome, including Tietze's Syndrome.
Understanding the ICD-10 Code for Costochondritis
Costochondritis is an inflammatory condition affecting the cartilage that connects your ribs to your breastbone (sternum), leading to chest pain. While there isn't a unique, standalone ICD-10 code explicitly named "Costochondritis," it is precisely categorized under the code for Chondrocostal Junction Syndrome.
- M94.0: Chondrocostal Junction Syndrome
- This specific code is utilized for diagnosing conditions involving a benign inflammation of one or more of the costal cartilages.
- It often affects areas such as the second rib, which aligns directly with the typical presentation of costochondritis.
- M94.0 also encompasses Tietze's Syndrome, a particular form of chondrocostal junction inflammation characterized by noticeable swelling of the affected cartilage. Although costochondritis generally refers to inflammation without swelling, both conditions fall under the M94.0 classification for coding purposes, representing similar underlying pathology.
Why M94.0 is the Appropriate Code
Healthcare providers and medical coders utilize M94.0 because it accurately describes the anatomical location and the inflammatory nature of the condition observed in costochondritis. This standardization is vital for several aspects within the healthcare system:
- Accurate Diagnosis and Treatment Planning: Ensures consistent classification, which aids in effective patient management.
- Medical Billing and Reimbursement: Facilitates streamlined and correct processing of claims for services rendered.
- Public Health Statistics: Contributes to the tracking of incidence, prevalence, and outcomes of musculoskeletal chest pain conditions, aiding in public health research and resource allocation.
Key Characteristics Coded by M94.0
| Feature | Description |
|---|---|
| Primary Condition | Chondrocostal Junction Syndrome (includes Tietze's Syndrome) |
| Affected Area | Inflammation of one or more costal cartilages (ribs connecting to the sternum) |
| Nature | Benign inflammation |
| Common Site | Frequently involves the second rib, though other ribs can also be affected |
For a comprehensive understanding of the code structure and its clinical application, you can refer to official ICD-10 resources, such as the ICD-10-CM M94.0 code description.
