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v1.0.0
ICD-10 Guide
ICD-10 CodesM47.814

M47.814

Billable

Spondylosis without myelopathy or radiculopathy, thoracic region

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

Code Description

ICD-10 M47.814 is a billable code used to indicate a diagnosis of spondylosis without myelopathy or radiculopathy, thoracic region.

Key Diagnostic Point:

Spondylosis refers to the degenerative changes in the spine, particularly affecting the intervertebral discs and vertebrae. In the thoracic region, this condition can lead to stiffness, pain, and reduced mobility. Unlike spondylosis with myelopathy or radiculopathy, this code specifically denotes the absence of neurological deficits. Patients may experience localized pain, which can be exacerbated by certain movements or postures. The thoracic spine is less commonly affected than the cervical or lumbar regions, but spondylosis can still lead to significant discomfort and functional limitations. Diagnosis typically involves clinical evaluation, imaging studies such as X-rays or MRIs, and a thorough assessment of the patient's history. Treatment options may include physical therapy, pain management, and lifestyle modifications to alleviate symptoms and improve quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between spondylosis and other spinal conditions.
  • Understanding the absence of myelopathy or radiculopathy.
  • Accurate documentation of symptoms and clinical findings.
  • Navigating related codes for spondylopathies and inflammatory conditions.

Audit Risk Factors

  • Inadequate documentation of symptoms.
  • Misinterpretation of imaging results.
  • Failure to specify the thoracic region.
  • Incorrect linkage to treatment codes.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes, imaging reports, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic thoracic pain, stiffness, or limited mobility.

Billing Considerations

Ensure that the absence of neurological symptoms is clearly documented.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment progress notes, and patient-reported outcomes.

Common Clinical Scenarios

Rehabilitation for patients with thoracic spondylosis post-injury or surgery.

Billing Considerations

Document the impact of spondylosis on daily activities and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use M47.814 When
  • Follow the official ICD
  • CM guidelines for coding spondylosis, ensuring that the absence of myelopathy or radiculopathy is clearly documented
  • Include relevant clinical findings and imaging results to support the diagnosis

Exclusion Criteria

Do NOT use M47.814 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

72040CPT Code

Radiologic examination, spine, thoracic, two views

Clinical Scenario

Used to confirm diagnosis of thoracic spondylosis.

Documentation Requirements

Include imaging results and clinical findings.

Specialty Considerations

Orthopedic specialists should ensure imaging correlates with clinical symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spondylosis, improving the accuracy of diagnoses and treatment plans. M47.814 provides a clear distinction from other forms of spondylosis, facilitating better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spondylosis, improving the accuracy of diagnoses and treatment plans. M47.814 provides a clear distinction from other forms of spondylosis, facilitating better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spondylosis, improving the accuracy of diagnoses and treatment plans. M47.814 provides a clear distinction from other forms of spondylosis, facilitating 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 spondylosis and spondylitis?

Spondylosis refers to degenerative changes in the spine, while spondylitis is an inflammatory condition affecting the vertebrae, often associated with autoimmune diseases.