Fourth Edition

Base Case ICD-9-CM Codes

Spine        
    Special Symptoms or Syndromes, NEC : 307
    Migraine : 346
    Trigeminal Nerve Disorders : 350
    Nerve Root and Plexus Disorders : 353
    Dentofacial Anomalies, Including Malocclusion : 524
    Pain and Other Symptoms Associated with Female Genital organs : 625
    Menopausal and Postmenopausal Disorders : 627
    General Symptoms : 780
    Symptoms Involving Skin and Other Integumentary Tissue : 782
    Symptoms Involving Head and Neck : 784

Codes

This edition of the Burden of Musculoskeletal Diseases in the United States continues to use condition codes defined in ICD-9-CM based on 2014 data. The earliest data based on ICD-10-CM codes will be 2016, with a one to two-year lag in availability. Codes used in the economic impact analysis by musculoskeletal diseases fall into the two categories of base codes and expansive codes.

Economic Burden of Musculoskeletal Diseases in the US: Discussion

Musculoskeletal diseases affect the US economy through direct medical costs and through lost wages. Changes in the organization of medical care, new methods of treatment, new drugs, and rising prices for existing services and medications, as well as changes in the employment situation of persons with musculoskeletal diseases, all affect the economic impact these diseases have on the economy. The result is a major economic burden from musculoskeletal diseases.

Per Person Expenditures

Overall, total average direct expenditures for persons with musculoskeletal diseases increased from $5,020 in 1996-1998 to $8,206 in 2012-2014, in 2014 dollars, a more than 60% increase. Ambulatory care was the largest cost share and accounted for 34% of total average per person costs for musculoskeletal diseases in 2012-2014.

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