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ICD-10 Guide
ICD-10 CodesM47.014

M47.014

Billable

Anterior spinal artery compression syndromes, thoracic region

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

Code Description

ICD-10 M47.014 is a billable code used to indicate a diagnosis of anterior spinal artery compression syndromes, thoracic region.

Key Diagnostic Point:

Anterior spinal artery compression syndromes in the thoracic region are characterized by a range of conditions that lead to compression of the anterior spinal artery, resulting in ischemia and neurological deficits. This syndrome is often associated with spondylopathies, such as ankylosing spondylitis and spinal stenosis, which can cause narrowing of the spinal canal and subsequent vascular compromise. Inflammatory spine conditions, including rheumatoid arthritis and other spondyloarthropathies, may also contribute to the development of this syndrome. Patients typically present with symptoms such as back pain, motor weakness, sensory deficits, and bowel or bladder dysfunction, depending on the level of spinal involvement. Diagnosis is often confirmed through imaging studies, including MRI, which can reveal the extent of spinal canal narrowing and any associated structural abnormalities. Treatment may involve surgical intervention to decompress the affected area, along with medical management of underlying inflammatory conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of spondylopathies
  • Understanding the relationship between spinal stenosis and vascular compromise
  • Identifying the specific region of the spine affected
  • Documenting associated neurological deficits accurately

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to specify the level of spinal involvement
  • Misclassification of the underlying spondylopathy
  • Lack of imaging studies to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients undergoing decompression surgery for spinal stenosis or spondylitis.

Billing Considerations

Ensure that the surgical approach and level of intervention are clearly documented.

Neurology

Documentation Requirements

Comprehensive neurological assessments and imaging interpretations.

Common Clinical Scenarios

Patients presenting with motor deficits or sensory loss due to spinal cord compression.

Billing Considerations

Document all neurological findings and correlate them with imaging results.

Coding Guidelines

Inclusion Criteria

Use M47.014 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when there is clear documentation of anterior spinal artery compression in the thoracic region

Exclusion Criteria

Do NOT use M47.014 When
  • Exclude conditions that do not involve anterior spinal artery compromise

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, thoracic, for decompression

Clinical Scenario

Used in cases where surgical intervention is required for anterior spinal artery compression.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons should document the specific level of decompression performed.

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 diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

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 diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of anterior spinal artery compression syndromes, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

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 back pain, motor weakness, sensory deficits, and bowel or bladder dysfunction, depending on the level of spinal involvement.