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ICD-10 Guide
ICD-10 CodesM43.13

M43.13

Billable

Spondylolisthesis, cervicothoracic region

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

Code Description

ICD-10 M43.13 is a billable code used to indicate a diagnosis of spondylolisthesis, cervicothoracic region.

Key Diagnostic Point:

Spondylolisthesis in the cervicothoracic region refers to the anterior displacement of one cervical vertebra over another, typically occurring between the cervical and thoracic spine. This condition can result from various factors, including congenital defects, degenerative changes, trauma, or pathological conditions such as tumors. Patients may present with symptoms such as neck pain, stiffness, and neurological deficits depending on the severity of the slippage and any associated spinal cord compression. Diagnosis is often confirmed through imaging studies, including X-rays, MRI, or CT scans, which reveal the degree of slippage and any associated spinal deformities. Treatment options may vary from conservative management, including physical therapy and pain management, to surgical interventions such as spinal fusion, particularly in cases where neurological symptoms are present or conservative measures fail. Understanding the implications of spondylolisthesis is crucial for effective management and coding, as it can significantly impact a patient's quality of life and functional abilities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for precise documentation of imaging findings
  • Differentiation from other spinal deformities like scoliosis and kyphosis
  • Potential for associated neurological deficits requiring detailed coding

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to document imaging results that support the diagnosis
  • Incorrect coding of associated conditions or complications
  • Lack of clarity on the treatment plan and its relation to the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Surgical intervention for severe spondylolisthesis with neurological involvement.

Billing Considerations

Ensure documentation reflects the specific level of vertebral involvement and any associated deformities.

Neurology

Documentation Requirements

Neurological assessments, imaging results, and treatment plans.

Common Clinical Scenarios

Evaluation of neurological deficits related to spondylolisthesis.

Billing Considerations

Document any neurological findings thoroughly to support the diagnosis and treatment plan.

Coding Guidelines

Inclusion Criteria

Use M43.13 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's severity and any associated complications
  • Include specific details about the anatomical location and any relevant imaging findings

Exclusion Criteria

Do NOT use M43.13 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22612CPT Code

Spinal fusion, cervical

Clinical Scenario

Used in cases of severe spondylolisthesis requiring stabilization.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons must document the specific levels fused and the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spondylolisthesis, enhancing the ability to capture the complexity of the condition and its treatment. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylolisthesis, enhancing the ability to capture the complexity of the condition and its treatment. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spondylolisthesis, enhancing the ability to capture the complexity of the condition and its treatment. This specificity aids in better tracking of outcomes and resource allocation.

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 are the common symptoms of spondylolisthesis?

Common symptoms include neck pain, stiffness, and possible neurological deficits such as weakness or numbness in the arms, depending on the severity of the condition.

How is spondylolisthesis diagnosed?

Diagnosis is typically made through imaging studies such as X-rays, MRI, or CT scans that reveal the degree of vertebral slippage and any associated spinal deformities.

What treatment options are available for spondylolisthesis?

Treatment options range from conservative management, including physical therapy and pain management, to surgical interventions like spinal fusion, especially in cases with significant symptoms or neurological involvement.