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ICD-10 Guide
ICD-10 CodesM46.83

M46.83

Billable

Other specified inflammatory spondylopathies, cervicothoracic region

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

Code Description

ICD-10 M46.83 is a billable code used to indicate a diagnosis of other specified inflammatory spondylopathies, cervicothoracic region.

Key Diagnostic Point:

M46.83 refers to inflammatory spondylopathies that affect the cervicothoracic region, which includes the cervical and upper thoracic vertebrae. These conditions are characterized by inflammation of the spine, leading to pain, stiffness, and potential mobility issues. Inflammatory spondylopathies can be associated with autoimmune diseases, such as ankylosing spondylitis, which primarily affects the sacroiliac joints and can extend to the cervical spine. Symptoms may include chronic back pain, reduced range of motion, and neurological symptoms if spinal stenosis occurs due to inflammation. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to identify inflammatory markers. Treatment may include anti-inflammatory medications, physical therapy, and in some cases, surgical intervention to relieve pressure on the spinal cord or nerves. Accurate coding is essential for proper management and reimbursement, as these conditions can significantly impact a patient's quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of inflammatory spondylopathies.
  • Need for precise documentation of symptoms and imaging findings.
  • Potential overlap with other spinal conditions like ankylosing spondylitis and spinal stenosis.
  • Variability in clinical presentation among patients.

Audit Risk Factors

  • Inadequate documentation of inflammatory markers.
  • Failure to specify the exact location of inflammation.
  • Misclassification of the condition as a non-inflammatory spondylopathy.
  • Lack of supporting imaging studies.

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed patient history, physical examination findings, imaging results, and laboratory tests.

Common Clinical Scenarios

Patients presenting with chronic back pain, stiffness, and positive inflammatory markers.

Billing Considerations

Documentation must clearly indicate the inflammatory nature of the condition and any associated autoimmune disorders.

Orthopedics

Documentation Requirements

Surgical notes, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Patients requiring surgical intervention for spinal stenosis due to inflammatory changes.

Billing Considerations

Ensure that the surgical necessity is well-documented and linked to the inflammatory diagnosis.

Coding Guidelines

Inclusion Criteria

Use M46.83 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include specific details about the inflammatory nature of the condition and any associated symptoms

Exclusion Criteria

Do NOT use M46.83 When
  • Exclude conditions that do not meet the criteria for inflammatory spondylopathies

Related ICD-10 Codes

Related CPT Codes

72148CPT Code

MRI of the cervical spine

Clinical Scenario

Used to assess inflammation in the cervicothoracic region.

Documentation Requirements

Indication for MRI must be documented, including symptoms and prior treatments.

Specialty Considerations

Rheumatologists and orthopedic surgeons should ensure imaging correlates with clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of inflammatory spondylopathies, improving the accuracy of diagnoses and treatment plans. M46.83 provides a clear designation for conditions that may have previously been coded under broader categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of inflammatory spondylopathies, improving the accuracy of diagnoses and treatment plans. M46.83 provides a clear designation for conditions that may have previously been coded under broader categories.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of inflammatory spondylopathies, improving the accuracy of diagnoses and treatment plans. M46.83 provides a clear designation for conditions that may have previously been coded under broader categories.

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 associated with M46.83?

Common symptoms include chronic neck pain, stiffness, reduced range of motion, and potential neurological symptoms due to spinal involvement.

How is M46.83 differentiated from other spondylopathies?

M46.83 is specifically for inflammatory spondylopathies in the cervicothoracic region, requiring documentation of inflammatory markers and clinical findings.