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ICD-10 Guide
ICD-10 CodesM47.14

M47.14

Billable

Other spondylosis with myelopathy, thoracic region

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

Code Description

ICD-10 M47.14 is a billable code used to indicate a diagnosis of other spondylosis with myelopathy, thoracic region.

Key Diagnostic Point:

M47.14 refers to a specific type of spondylosis characterized by degenerative changes in the thoracic spine that lead to myelopathy, which is a neurological deficit caused by compression of the spinal cord. Spondylosis itself is a general term for age-related wear and tear affecting the spinal discs and vertebrae. In the thoracic region, this condition can result from various factors, including degenerative disc disease, osteophyte formation, and spinal stenosis. Myelopathy manifests as symptoms such as weakness, numbness, and coordination difficulties, often affecting the lower extremities. The thoracic spine is less commonly affected than the cervical or lumbar regions, but when it is, the implications can be significant due to the proximity to vital structures. Accurate diagnosis typically involves imaging studies such as MRI or CT scans, which can reveal the extent of spinal cord compression and associated changes. Treatment may include physical therapy, pain management, and in severe cases, surgical intervention to relieve pressure on the spinal cord.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of spondylosis and associated conditions.
  • Understanding the specific anatomical region affected (thoracic spine).
  • Identifying the presence of myelopathy and its severity.
  • Navigating the documentation requirements for neurological deficits.

Audit Risk Factors

  • Inadequate documentation of neurological symptoms.
  • Failure to specify the thoracic region in the diagnosis.
  • Misidentification of spondylosis type.
  • Lack of imaging studies to support the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with weakness, sensory changes, or gait disturbances due to thoracic myelopathy.

Billing Considerations

Ensure comprehensive documentation of neurological deficits and their impact on daily activities.

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients requiring surgical intervention for decompression of the spinal cord due to spondylosis.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use M47.14 When
  • According to ICD
  • CM guidelines, M47
  • 14 should be used when there is clear documentation of spondylosis with myelopathy specifically in the thoracic region
  • Coders must ensure that the diagnosis is supported by clinical findings and imaging results

Exclusion Criteria

Do NOT use M47.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, thoracic, for decompression of spinal cord

Clinical Scenario

Used in cases where surgical intervention is required for myelopathy due to thoracic spondylosis.

Documentation Requirements

Pre-operative assessments, imaging results, and post-operative notes.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention clearly.

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 related conditions, improving the accuracy of diagnoses and treatment plans. M47.14 provides a clear distinction for cases involving myelopathy in the thoracic region, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylosis and related conditions, improving the accuracy of diagnoses and treatment plans. M47.14 provides a clear distinction for cases involving myelopathy in the thoracic region, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spondylosis and related conditions, improving the accuracy of diagnoses and treatment plans. M47.14 provides a clear distinction for cases involving myelopathy in the thoracic region, which was less defined in ICD-9.

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 spondylosis and myelopathy?

Spondylosis refers to degenerative changes in the spine, while myelopathy is a condition resulting from spinal cord compression that leads to neurological deficits. M47.14 specifically indicates the presence of both conditions in the thoracic region.