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The Hunt for DX October! 2025

John Spiezio
Additions. Revisions. Deletions. The Hunt is On!




Effective October 1, 2024


Sound Medical Billing Solutions can help you seek and utilize the new DX Codes for October 1, 2024...and so much more!




In the 1990 movie "The Hunt for Red October," Captain Ramius seeks to defect to the US while Jack Ryan helps him in charting a course to properly achieve the desired outcome. SMBS can help you chart a course to complete your mission of effectively utilizing the new DX codes to meet the outcome of accurate DX coding and valid claims submissions.


The 2025 New Code Set (effective October 1, 2024) includes 324 New Codes, 14 Revised Codes, and 36 Deleted Codes.


Of note for PTs, OTs, and Chiropractors are three commonly used codes that are now deleted:


  • M51.36 (other intervertebral disc degeneration, lumbar region)

  • M51.37 (other intervertebral disc degeneration, lumbosacral region)

  • M65.9 (synovitis and tenosynovitis, unspecified)


Starting October 1, 2024, all providers must cease the usage of the above listed codes and re-code to a higher level of specificity for all patients (new and active) regardless of the payer, Medicare, Commercial, Worker's Compensation and No-Fault.


Let the October Hunt for NEW DX Codes Begin

What codes replace M51.36?


  • M51.360 (other intervertebral disc degeneration, lumbar region with discogenic back pain only);

  • M51.361 (other intervertebral disc degeneration, lumbar region with lower extremity pain only);

  • M51.362 (other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain); and

  • M51.369 (other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity pain).



What codes replace M51.37?


  • M51.370 (other intervertebral disc degeneration, lumbosacral region with discogenic back pain only);

  • M51.371 (other intervertebral disc degeneration, lumbosacral region with lower extremity pain only);

  • M51.372 (other intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity pain);

  • M51.379 (other intervertebral disc degeneration, lumbosacral region without mention of lumbar back pain or lower extremity pain); and

  • M62.85 (dysfunction of the multifidus muscles, lumbar region).



What codes replace M65.9?


  • M65.90 (unspecified synovitis and tenosynovitis, unspecified site);

  • M65.911 (unspecified synovitis and tenosynovitis, right shoulder);

  • M65.912 (unspecified synovitis and tenosynovitis, left shoulder);

  • M65.919 (unspecified synovitis and tenosynovitis, unspecified shoulder);

  • M65.921 (unspecified synovitis and tenosynovitis, right upper arm);

  • M65.922 (unspecified synovitis and tenosynovitis, left upper arm);

  • M65.929 (unspecified synovitis and tenosynovitis, unspecified upper arm);

  • M65.931 (unspecified synovitis and tenosynovitis, right forearm);

  • M65.932 (unspecified synovitis and tenosynovitis, left forearm);

  • M65.939 (unspecified synovitis and tenosynovitis, unspecified forearm);

  • M65.941 (unspecified synovitis and tenosynovitis, right hand);

  • M65.942 (unspecified synovitis and tenosynovitis, left hand);

  • M65.949 (unspecified synovitis and tenosynovitis, unspecified hand);

  • M65.951 (unspecified synovitis and tenosynovitis, right thigh);

  • M65.952 (unspecified synovitis and tenosynovitis, left thigh);

  • M65.959 (unspecified synovitis and tenosynovitis, unspecified thigh);

  • M65.961 (unspecified synovitis and tenosynovitis, right lower leg);

  • M65.962 (unspecified synovitis and tenosynovitis, left lower leg);

  • M65.969 (unspecified synovitis and tenosynovitis, unspecified lower leg);

  • M65.971 (unspecified synovitis and tenosynovitis, right ankle and foot);

  • M65.972 (unspecified synovitis and tenosynovitis, left ankle and foot);

  • M65.979 (unspecified synovitis and tenosynovitis, unspecified ankle and foot); and

  • M65.98 (unspecified synovitis and tenosynovitis, other site).



BEST PRACTICE:

Review the links provided below to identify ICD10 code changes and Active ICD10 codes that may benefit your professional practice.

Give us a call and we will be happy to help you "HUNT" for the ICD-10 code changes affecting your specialty!

 



John Spiezio, President

Sound Medical Billing Solutions, LLC

 

Call, click, or email for more information about this or any other topic that my affect your practice. We will be happy to help!

Contact Us at:

tel: 631-343-3147

The Outpatient Rehabilitation Practice Management and Billing Specialists!
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