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ICD-10 Guide
ICD-10 CodesM47.016

M47.016

Billable

Anterior spinal artery compression syndromes, lumbar region

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

Code Description

ICD-10 M47.016 is a billable code used to indicate a diagnosis of anterior spinal artery compression syndromes, lumbar region.

Key Diagnostic Point:

Anterior spinal artery compression syndromes in the lumbar region refer to a group of conditions characterized by the compression of the anterior spinal artery, which can lead to ischemia of the anterior spinal cord. This condition is often associated with various spondylopathies, including ankylosing spondylitis and spinal stenosis. Inflammatory spine conditions can also contribute to the narrowing of the spinal canal, resulting in compression of the spinal cord and its vascular supply. Symptoms may include lower back pain, motor deficits, sensory disturbances, and in severe cases, paralysis. Diagnosis typically involves imaging studies such as MRI or CT scans to visualize the extent of compression and associated structural changes in the spine. Treatment options may vary from conservative management, including physical therapy and pain management, to surgical interventions aimed at decompressing the affected area. Understanding the underlying causes and the specific anatomical implications of anterior spinal artery compression is crucial for effective management and coding of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of spondylopathies
  • Understanding the relationship between inflammatory conditions and spinal stenosis
  • Need for precise documentation of symptoms and imaging findings
  • Variability in treatment approaches based on severity and patient history

Audit Risk Factors

  • Inadequate documentation of symptoms and imaging results
  • Failure to specify the underlying cause of compression
  • Misclassification of the severity of the condition
  • Inconsistent coding of co-existing conditions

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with chronic lower back pain and neurological deficits requiring surgical intervention.

Billing Considerations

Ensure clear documentation of the surgical approach and any complications.

Neurology

Documentation Requirements

Comprehensive neurological examinations and detailed patient history.

Common Clinical Scenarios

Patients with progressive motor weakness and sensory loss due to spinal cord compression.

Billing Considerations

Document all neurological findings and correlate them with imaging studies.

Coding Guidelines

Inclusion Criteria

Use M47.016 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's etiology and any associated symptoms
  • Include imaging results and treatment plans to support the diagnosis

Exclusion Criteria

Do NOT use M47.016 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, lumbar

Clinical Scenario

Used in cases of significant spinal stenosis with anterior spinal artery compression.

Documentation Requirements

Operative reports detailing the procedure and indications for surgery.

Specialty Considerations

Orthopedic surgeons must document the extent 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 data collection and reimbursement processes. This specificity aids in better understanding the epidemiology and treatment outcomes of these conditions.

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 data collection and reimbursement processes. This specificity aids in better understanding the epidemiology and treatment outcomes of these conditions.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the epidemiology and treatment outcomes of these conditions.

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 lower back pain, motor weakness, sensory deficits, and in severe cases, bowel and bladder dysfunction due to spinal cord involvement.