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ICD-10 Guide
ICD-10 CodesM47.893

M47.893

Billable

Other spondylosis, cervicothoracic region

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M47.893 is a billable code used to indicate a diagnosis of other spondylosis, cervicothoracic region.

Key Diagnostic Point:

M47.893 refers to other forms of spondylosis affecting the cervicothoracic region, which encompasses the cervical and upper thoracic vertebrae. Spondylosis is a degenerative condition characterized by the wear and tear of the spinal discs and joints, leading to pain, stiffness, and reduced mobility. In the cervicothoracic region, this condition can manifest as cervical radiculopathy, myelopathy, or chronic neck pain. Patients may experience symptoms such as neck stiffness, radiating pain into the arms, and neurological deficits due to nerve compression. The condition can be exacerbated by factors such as age, repetitive strain, and underlying inflammatory conditions like ankylosing spondylitis. Accurate diagnosis often involves imaging studies such as MRI or CT scans to assess disc degeneration, osteophyte formation, and spinal canal narrowing. Treatment options may include physical therapy, pain management, and in severe cases, surgical intervention. Understanding the nuances of this code is essential for proper documentation and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of spondylosis and related conditions.
  • Need for precise documentation of symptoms and imaging findings.
  • Potential overlap with other codes for spondylopathies and inflammatory spine conditions.
  • Variability in clinical presentation and treatment approaches.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to specify the exact nature of the spondylosis.
  • Misuse of the code due to overlapping symptoms with other conditions.
  • Lack of imaging studies to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic neck pain, radiculopathy, or post-surgical follow-ups.

Billing Considerations

Ensure that the documentation clearly differentiates between types of spondylosis and any associated neurological deficits.

Rheumatology

Documentation Requirements

Comprehensive history of inflammatory symptoms, lab results, and imaging studies.

Common Clinical Scenarios

Patients with suspected ankylosing spondylitis or other inflammatory spine disorders.

Billing Considerations

Document any inflammatory markers and the patient's response to treatment to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use M47.893 When
  • According to ICD
  • 10 coding guidelines, M47
  • 893 should be used when the specific type of spondylosis affecting the cervicothoracic region does not fall under more specific codes
  • It is essential to document the clinical findings and any imaging results that support the diagnosis

Exclusion Criteria

Do NOT use M47.893 When
  • Exclusion criteria include conditions that are more specifically defined under other codes

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, cervical

Clinical Scenario

Used in cases of severe spinal stenosis due to spondylosis.

Documentation Requirements

Document indications for surgery, imaging results, and pre-operative assessments.

Specialty Considerations

Orthopedic surgeons should ensure that the surgical necessity is well-documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spondylosis, improving the accuracy of diagnoses and treatment plans. M47.893 provides a means to capture cases that do not fit into more specific categories, enhancing the granularity of data for research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylosis, improving the accuracy of diagnoses and treatment plans. M47.893 provides a means to capture cases that do not fit into more specific categories, enhancing the granularity of data for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spondylosis, improving the accuracy of diagnoses and treatment plans. M47.893 provides a means to capture cases that do not fit into more specific categories, enhancing the granularity of data for research and treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between M47.893 and M47.891?

M47.893 is used for other forms of spondylosis in the cervicothoracic region without myelopathy, while M47.891 is specifically for cervical spondylosis with myelopathy.