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ICD-10 Guide
ICD-10 CodesM47.2

M47.2

Billable

Other spondylosis with radiculopathy

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

Code Description

ICD-10 M47.2 is a billable code used to indicate a diagnosis of other spondylosis with radiculopathy.

Key Diagnostic Point:

M47.2 refers to a specific type of spondylosis characterized by degenerative changes in the spine that lead to nerve root compression, resulting in radiculopathy. Spondylosis is a general term for age-related wear and tear of the spinal discs and vertebrae. In this condition, the degeneration can lead to the formation of bone spurs and narrowing of the spinal canal (spinal stenosis), which may irritate or compress spinal nerves. Symptoms often include pain, numbness, or weakness radiating along the path of the affected nerve, typically in the arms or legs. This condition can be exacerbated by inflammatory spine conditions such as ankylosing spondylitis, which is a type of arthritis that primarily affects the spine and can lead to severe, chronic pain and discomfort. Accurate diagnosis often requires imaging studies such as MRI or CT scans to visualize the extent of degeneration and nerve involvement. Treatment options may include physical therapy, medications for pain relief, and in some cases, surgical intervention to relieve nerve compression.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of spondylosis and radiculopathy
  • Need for precise documentation of symptoms and imaging findings
  • Variability in clinical presentation among patients
  • Potential overlap with other spinal conditions

Audit Risk Factors

  • Inadequate documentation of radiculopathy symptoms
  • Failure to specify the level of spinal involvement
  • Misclassification of spondylosis type
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic back pain, radicular symptoms, and imaging evidence of spondylosis.

Billing Considerations

Ensure clear documentation of the relationship between spondylosis and radiculopathy.

Neurology

Documentation Requirements

Comprehensive neurological assessments, including sensory and motor evaluations.

Common Clinical Scenarios

Patients with neurological deficits attributed to nerve root compression.

Billing Considerations

Documenting the neurological impact of spondylosis on patient function.

Coding Guidelines

Inclusion Criteria

Use M47.2 When
  • According to ICD
  • 10 guidelines, M47
  • 2 should be used when there is clear documentation of spondylosis with radiculopathy
  • Coders must ensure that the radiculopathy is directly linked to the spondylosis and that all relevant clinical details are documented

Exclusion Criteria

Do NOT use M47.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, facetectomy, and foraminotomy

Clinical Scenario

Used in cases where surgical intervention is required for decompression of nerve roots due to spondylosis.

Documentation Requirements

Surgical notes must detail the procedure and rationale for intervention.

Specialty Considerations

Orthopedic surgeons must document the specific levels treated.

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 associated conditions, improving the accuracy of diagnoses and treatment tracking. M47.2 provides a clear distinction for cases involving radiculopathy, 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 associated conditions, improving the accuracy of diagnoses and treatment tracking. M47.2 provides a clear distinction for cases involving radiculopathy, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement.

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 M47.2 and M47.1?

M47.2 is used for other types of spondylosis with radiculopathy, while M47.1 specifically refers to cervical spondylosis with radiculopathy. The distinction is important for accurate coding based on the location of the spondylosis.