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ICD-10 Guide
ICD-10 CodesM47.22

M47.22

Billable

Other spondylosis with radiculopathy, cervical region

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

Code Description

ICD-10 M47.22 is a billable code used to indicate a diagnosis of other spondylosis with radiculopathy, cervical region.

Key Diagnostic Point:

M47.22 refers to a condition characterized by degenerative changes in the cervical spine, specifically spondylosis, which can lead to radiculopathy. Spondylosis is a term that encompasses various degenerative changes in the spine, including disc degeneration, osteophyte formation, and facet joint arthritis. In the cervical region, these changes can compress or irritate spinal nerves, resulting in radiculopathy, which presents as pain, numbness, or weakness radiating into the upper extremities. Patients may experience symptoms such as neck pain, stiffness, and neurological deficits. The condition can be exacerbated by factors such as age, repetitive strain, and underlying inflammatory conditions. Accurate diagnosis often involves imaging studies like MRI or CT scans to assess the extent of degeneration and nerve involvement. Treatment options may include physical therapy, medications, 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 their specific manifestations.
  • Understanding the relationship between spondylosis and radiculopathy.
  • Need for precise documentation of symptoms and diagnostic imaging.
  • Variability in clinical presentation among patients.

Audit Risk Factors

  • Inadequate documentation of radiculopathy symptoms.
  • Failure to provide imaging results that support the diagnosis.
  • Misclassification of the type of spondylosis.
  • Lack of detailed treatment plans in the medical record.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with neck pain and neurological symptoms, often after trauma or with chronic degeneration.

Billing Considerations

Ensure that all relevant imaging studies are documented and correlate with clinical findings.

Neurology

Documentation Requirements

Comprehensive neurological assessments, including motor and sensory evaluations.

Common Clinical Scenarios

Patients with radicular pain and neurological deficits requiring further diagnostic workup.

Billing Considerations

Document the specific neurological deficits and their correlation with imaging findings.

Coding Guidelines

Inclusion Criteria

Use M47.22 When
  • According to ICD
  • 10 guidelines, M47
  • 22 should be used when there is clear documentation of spondylosis accompanied by radiculopathy in the cervical region
  • It is important to ensure that the documentation supports the diagnosis and that radiculopathy is specifically noted

Exclusion Criteria

Do NOT use M47.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical, for decompression of spinal cord and/or nerve root(s)

Clinical Scenario

Used when surgical intervention is required for cervical spondylosis with radiculopathy.

Documentation Requirements

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

Specialty Considerations

Orthopedic or neurosurgical documentation must clearly indicate the need for surgery.

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 M47.22, improving the accuracy of diagnoses and treatment tracking. This specificity helps in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M47.22, improving the accuracy of diagnoses and treatment tracking. This specificity helps in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like M47.22, improving the accuracy of diagnoses and treatment tracking. This specificity helps in better patient management and resource allocation.

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 M47.22 and M47.21?

M47.22 includes radiculopathy associated with cervical spondylosis, while M47.21 refers to cervical spondylosis without radiculopathy.