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ICD-10 Guide
ICD-10 CodesM47.10

M47.10

Billable

Other spondylosis with myelopathy, site unspecified

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

Code Description

ICD-10 M47.10 is a billable code used to indicate a diagnosis of other spondylosis with myelopathy, site unspecified.

Key Diagnostic Point:

M47.10 refers to a condition characterized by degenerative changes in the spine, specifically spondylosis, which leads to myelopathy. Myelopathy is a neurological condition resulting from compression of the spinal cord, often due to degenerative changes such as osteophyte formation, disc herniation, or spinal stenosis. This code is used when the specific site of the spondylosis is not specified, making it essential for coders to ensure that the documentation does not indicate a more specific location. Spondylosis can be associated with various inflammatory spine conditions, including ankylosing spondylitis, which primarily affects the sacroiliac joints and can lead to significant stiffness and pain. Spinal stenosis, a narrowing of the spinal canal, can also contribute to myelopathy by compressing the spinal cord. Accurate coding requires a thorough understanding of the patient's clinical presentation, imaging findings, and the relationship between spondylosis and myelopathy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise documentation of myelopathy
  • Differentiation from other types of spondylosis
  • Potential overlap with inflammatory spine conditions

Audit Risk Factors

  • Inadequate documentation of myelopathy symptoms
  • Failure to specify the site of spondylosis
  • Misinterpretation of imaging results
  • Inconsistent clinical notes regarding the patient's condition

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with weakness, numbness, or coordination issues due to spinal cord compression.

Billing Considerations

Ensure that myelopathy is clearly documented and linked to the spondylosis.

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Patients undergoing surgical intervention for spinal stenosis or spondylosis-related myelopathy.

Billing Considerations

Document the specific surgical procedure and its relation to the diagnosis.

Coding Guidelines

Inclusion Criteria

Use M47.10 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the documentation supports the diagnosis of spondylosis with myelopathy

Exclusion Criteria

Do NOT use M47.10 When
  • Exclude codes that specify a site if the documentation does not provide this information

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, decompression of spinal cord

Clinical Scenario

Used in cases of severe myelopathy due to spondylosis.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Orthopedic surgeons must document the relationship between the procedure and the diagnosis.

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 myelopathy, improving the accuracy of clinical data and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylosis and myelopathy, improving the accuracy of clinical data and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 is the difference between M47.10 and M47.11?

M47.10 is used when the site of spondylosis is unspecified, while M47.11 is for cervical spondylosis with myelopathy specifically affecting the cervical spine.