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ICD-10 Guide
ICD-10 CodesM47.011

M47.011

Billable

Anterior spinal artery compression syndromes, occipito-atlanto-axial region

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

Code Description

ICD-10 M47.011 is a billable code used to indicate a diagnosis of anterior spinal artery compression syndromes, occipito-atlanto-axial region.

Key Diagnostic Point:

Anterior spinal artery compression syndromes in the occipito-atlanto-axial region refer to a group of conditions characterized by the compression of the anterior spinal artery, which can lead to ischemia and neurological deficits. This syndrome is often associated with spondylopathies, particularly ankylosing spondylitis, which can cause inflammation and fusion of the vertebrae, leading to spinal stenosis. Inflammatory spine conditions can also contribute to the narrowing of the spinal canal, resulting in compression of the spinal cord and anterior spinal artery. Symptoms may include neck pain, stiffness, and neurological deficits such as weakness or sensory changes in the upper extremities. Diagnosis typically involves imaging studies such as MRI or CT scans to assess the degree of compression and associated structural changes. Treatment may include conservative management with physical therapy and anti-inflammatory medications, or surgical intervention in severe cases to relieve compression and restore spinal stability.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of spondylopathies
  • Identifying the specific anatomical region affected
  • Understanding the implications of associated inflammatory conditions
  • Navigating the nuances of spinal stenosis coding

Audit Risk Factors

  • Inadequate documentation of neurological deficits
  • Failure to specify the anatomical region affected
  • Misclassification of the underlying spondylopathy
  • Lack of imaging studies to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and pre-operative assessments.

Common Clinical Scenarios

Patients presenting with severe neck pain and neurological symptoms requiring surgical intervention.

Billing Considerations

Ensure clear documentation of the surgical approach and any intraoperative findings.

Neurology

Documentation Requirements

Comprehensive neurological examinations and imaging studies.

Common Clinical Scenarios

Patients with progressive neurological deficits and suspected spinal cord compression.

Billing Considerations

Document all neurological findings and correlate them with imaging results.

Coding Guidelines

Inclusion Criteria

Use M47.011 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's severity and associated symptoms
  • Include any relevant imaging findings and specify the anatomical region affected

Exclusion Criteria

Do NOT use M47.011 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical, for decompression of spinal cord

Clinical Scenario

Used in cases where surgical intervention is required to relieve compression.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons should document the extent of decompression achieved.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of anterior spinal artery compression syndromes, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of anterior spinal artery compression syndromes, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 anterior spinal artery compression syndromes?

Common symptoms include neck pain, stiffness, and neurological deficits such as weakness or sensory changes in the upper extremities.