What ICD-10 codes are used for costochondritis?
Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone (sternum), often involving the chondrocostal junction. This musculoskeletal condition can cause localized chest pain that frequently mimics cardiac-related discomfort. Accurate documentation of costochondritis is important for proper patient care, billing, and medical reporting. The ICD-10-CM coding system, which supports a wide range of musculoskeletal system and connective tissue disorders, includes standardized codes for this diagnosis and other related conditions.
It cases where Tietze’s disease (also referred to as chondrocostal junction syndrome), is suspected, additional differentiation is needed, as Tietze’s disease involves swelling at the costal cartilage, unlike costochondritis which does not present with swelling.
There is one code that applies to costochondritis:
- M94.0 - Chondrocostal junction syndrome (Tietze): This code refers to cartilage inflammation where the ribs meet the sternum, causing chest wall pain and swelling, and this code can also apply to costochondritis when swelling is present.
(Note: Costochondritis remains a clinical diagnosis typically confirmed through physical examination. While M94.0 is the primary billable code, associated codes may be considered for coexisting respiratory system diagnoses or other specified disorders if present.)
