Anterior spinal artery compression syndromes, cervicothoracic region
ICD-10 M47.013 is a billable code used to indicate a diagnosis of anterior spinal artery compression syndromes, cervicothoracic region.
Anterior spinal artery compression syndromes in the cervicothoracic region refer to a group of conditions characterized by the compression of the anterior spinal artery, which can lead to ischemia and neurological deficits in the cervical and upper thoracic spinal cord. This syndrome is often associated with various spondylopathies, including ankylosing spondylitis and spinal stenosis, where structural changes in the spine can compromise blood flow to the spinal cord. Inflammatory spine conditions may also contribute to this syndrome, as inflammation can lead to edema and subsequent compression of vascular structures. Patients may present with symptoms such as weakness, sensory loss, and bowel or bladder dysfunction, which are indicative of anterior spinal cord involvement. Diagnosis typically involves imaging studies such as MRI to visualize the spinal cord and surrounding structures, and treatment may include surgical intervention to relieve compression, along with management of underlying conditions. Accurate coding is essential for proper reimbursement and tracking of these complex conditions.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with weakness, sensory changes, or bowel/bladder dysfunction due to spinal cord compression.
Ensure clear documentation of neurological deficits and correlation with imaging findings.
Surgical notes, pre-operative assessments, and post-operative follow-up documentation.
Surgical intervention for spinal stenosis or decompression due to anterior spinal artery compression.
Document the rationale for surgical intervention and any complications.
Used in cases of anterior spinal artery compression due to structural abnormalities.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the rationale for surgical intervention.
Common symptoms include weakness in the limbs, sensory loss, bowel and bladder dysfunction, and gait instability, depending on the level of spinal cord involvement.
