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ICD-10 Guide
ICD-10 CodesM47.15

M47.15

Billable

Other spondylosis with myelopathy, thoracolumbar region

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

Code Description

ICD-10 M47.15 is a billable code used to indicate a diagnosis of other spondylosis with myelopathy, thoracolumbar region.

Key Diagnostic Point:

M47.15 refers to a specific type of spondylosis characterized by degenerative changes in the thoracolumbar region of the spine, which can lead to myelopathy. Spondylosis is a general term for age-related wear and tear affecting the spinal discs and vertebrae. In this case, the degeneration can cause narrowing of the spinal canal (spinal stenosis) and compression of the spinal cord, resulting in neurological symptoms such as weakness, numbness, and coordination difficulties. This condition may arise from various factors, including previous injuries, chronic inflammatory conditions like ankylosing spondylitis, or other degenerative diseases. The thoracolumbar region, which includes the lower thoracic and upper lumbar vertebrae, is particularly susceptible to these changes due to its biomechanical load. Accurate diagnosis often requires imaging studies such as MRI or CT scans to assess the extent of degeneration and any associated spinal cord compression. Treatment may involve physical therapy, pain management, and in some cases, surgical intervention to relieve pressure on the spinal cord.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of spondylosis and myelopathy
  • Understanding the anatomical specificity of the thoracolumbar region
  • Identifying associated conditions like ankylosing spondylitis
  • Navigating the nuances of spinal stenosis and its implications

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to specify the thoracolumbar region
  • Misidentification of spondylosis type
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with weakness, sensory deficits, or gait disturbances due to spinal cord compression.

Billing Considerations

Ensure clear documentation of myelopathy symptoms and their impact on daily functioning.

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Patients with chronic back pain and neurological symptoms requiring surgical evaluation.

Billing Considerations

Document any conservative management strategies attempted prior to surgical intervention.

Coding Guidelines

Inclusion Criteria

Use M47.15 When
  • Follow official ICD
  • CM guidelines for coding spondylosis and myelopathy
  • Ensure that the diagnosis is supported by clinical documentation and imaging studies
  • Include any relevant history of inflammatory spine conditions

Exclusion Criteria

Do NOT use M47.15 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, decompression of spinal cord

Clinical Scenario

Used in cases where surgical intervention is required for myelopathy due to spondylosis.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons should document the rationale for surgical intervention clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spondylosis and related conditions, improving the accuracy of diagnoses and treatment tracking. M47.15 provides a clear distinction for cases involving myelopathy, which is crucial for appropriate management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylosis and related conditions, improving the accuracy of diagnoses and treatment tracking. M47.15 provides a clear distinction for cases involving myelopathy, which is crucial for appropriate management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 symptoms indicate the need to use M47.15?

Symptoms such as weakness, numbness, or coordination difficulties in the lower extremities, along with imaging findings of thoracolumbar spondylosis and myelopathy, indicate the use of M47.15.