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ICD-10 Guide
ICD-10 CodesM47.02

M47.02

Billable

Vertebral artery compression syndromes

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

Code Description

ICD-10 M47.02 is a billable code used to indicate a diagnosis of vertebral artery compression syndromes.

Key Diagnostic Point:

Vertebral artery compression syndromes refer to a group of conditions characterized by the compression of the vertebral artery, which can lead to a variety of neurological symptoms due to reduced blood flow to the brain. This syndrome is often associated with spondylopathies, particularly ankylosing spondylitis and spinal stenosis. In ankylosing spondylitis, inflammation of the spine can lead to bony fusion and abnormal spinal curvature, which may compress the vertebral arteries. Spinal stenosis, a narrowing of the spinal canal, can also contribute to this compression, particularly in older adults. Inflammatory spine conditions can exacerbate these issues, leading to increased risk of vertebral artery compression. Symptoms may include dizziness, vertigo, visual disturbances, and even syncope. Diagnosis typically involves imaging studies such as MRI or CT scans to assess the anatomy of the cervical spine and the vertebral arteries. Treatment may involve physical therapy, medications to reduce inflammation, or surgical intervention to relieve compression.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of spondylopathies
  • Understanding the relationship between spinal conditions and vascular symptoms
  • Need for precise documentation of neurological symptoms
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of symptoms related to vertebral artery compression
  • Failure to document the specific type of spondylopathy
  • Misclassification of the condition due to overlapping symptoms with other diagnoses
  • Lack of imaging studies to support the diagnosis

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and symptom descriptions.

Common Clinical Scenarios

Patients presenting with dizziness, vertigo, or syncope associated with cervical spine issues.

Billing Considerations

Ensure clear documentation of neurological deficits and correlation with imaging findings.

Orthopedics

Documentation Requirements

Comprehensive assessment of spinal alignment, range of motion, and any surgical interventions performed.

Common Clinical Scenarios

Patients with chronic neck pain and associated vertebral artery compression symptoms.

Billing Considerations

Document any surgical history or interventions that may impact the vertebral arteries.

Coding Guidelines

Inclusion Criteria

Use M47.02 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition, associated symptoms, and any imaging studies performed
  • Include any relevant co
  • morbid conditions that may impact treatment

Exclusion Criteria

Do NOT use M47.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical

Clinical Scenario

Performed to relieve compression on the vertebral artery.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Orthopedic or neurosurgical documentation must support the need for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vertebral artery compression syndromes, improving the ability to capture the complexity of these conditions and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vertebral artery compression syndromes, improving the ability to capture the complexity of these conditions and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vertebral artery compression syndromes, improving the ability to capture the complexity of these conditions and their management.

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 vertebral artery compression syndromes?

Common symptoms include dizziness, vertigo, visual disturbances, and syncope, often related to reduced blood flow to the brain.