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ICD-10 Guide
ICD-10 CodesM47.12

M47.12

Billable

Other spondylosis with myelopathy, cervical region

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

Code Description

ICD-10 M47.12 is a billable code used to indicate a diagnosis of other spondylosis with myelopathy, cervical region.

Key Diagnostic Point:

M47.12 refers to a specific type of spondylosis characterized by degenerative changes in the cervical spine that lead to myelopathy, which is a neurological condition resulting from spinal cord compression. Spondylosis is a general term for age-related wear and tear affecting the spinal discs and vertebrae. In the cervical region, these degenerative changes can lead to spinal stenosis, where the spinal canal narrows, putting pressure on the spinal cord and nerves. Symptoms may include neck pain, stiffness, and neurological deficits such as weakness, numbness, or coordination problems in the upper and lower extremities. The condition can be exacerbated by inflammatory spine conditions such as ankylosing spondylitis, which can lead to further degeneration and complications. Accurate diagnosis often requires imaging studies, such as MRI or CT scans, to assess the extent of spinal cord involvement and rule out other conditions. Treatment may involve physical therapy, medications, or surgical interventions depending on the severity of symptoms and the degree of spinal cord compression.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of spondylosis and myelopathy
  • Need for precise documentation of neurological deficits
  • Variability in presentation and severity of symptoms
  • Potential overlap with other spinal conditions

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to include imaging results in the medical record
  • Misclassification of spondylosis type
  • Lack of clear treatment plans related to myelopathy

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with neck pain and neurological deficits, requiring evaluation for myelopathy.

Billing Considerations

Ensure that all neurological symptoms are documented clearly to support the diagnosis of myelopathy.

Orthopedic Surgery

Documentation Requirements

Surgical notes, pre-operative assessments, and post-operative follow-ups.

Common Clinical Scenarios

Patients undergoing surgical intervention for cervical spondylosis with myelopathy.

Billing Considerations

Document the rationale for surgical intervention and any pre-existing conditions that may affect outcomes.

Coding Guidelines

Inclusion Criteria

Use M47.12 When
  • Follow official coding guidelines for spondylosis and myelopathy
  • Ensure that the diagnosis is supported by clinical documentation, including imaging studies and neurological assessments

Exclusion Criteria

Do NOT use M47.12 When
  • Exclude conditions that may mimic or overlap with spondylosis

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical

Clinical Scenario

Performed for decompression of the spinal cord due to cervical spondylosis with myelopathy.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Orthopedic or neurosurgery documentation must clearly outline the need for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like M47.12, improving the accuracy of diagnoses and treatment plans. It has also enhanced the ability to track outcomes and resource utilization in patients with spondylosis and myelopathy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M47.12, improving the accuracy of diagnoses and treatment plans. It has also enhanced the ability to track outcomes and resource utilization in patients with spondylosis and myelopathy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like M47.12, improving the accuracy of diagnoses and treatment plans. It has also enhanced the ability to track outcomes and resource utilization in patients with spondylosis and myelopathy.

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 M47.12 and M47.11?

M47.12 includes myelopathy, which indicates neurological involvement due to spinal cord compression, while M47.11 does not involve myelopathy.