Radiculopathy, cervicothoracic region
ICD-10 M54.13 is a billable code used to indicate a diagnosis of radiculopathy, cervicothoracic region.
Radiculopathy in the cervicothoracic region refers to the clinical syndrome resulting from the compression or irritation of cervical nerve roots as they exit the spinal column. This condition often presents with symptoms such as neck pain, radiating pain, numbness, or weakness in the upper extremities, which may be exacerbated by certain movements or positions. Patients may also experience dorsalgia, characterized by discomfort in the back, particularly in the cervical and thoracic areas. The underlying causes of cervicothoracic radiculopathy can include herniated discs, degenerative disc disease, spinal stenosis, or trauma. Diagnosis typically involves a thorough clinical examination, imaging studies like MRI or CT scans, and nerve conduction studies to assess the extent of nerve involvement. Management strategies can be conservative, including physical therapy, medications (such as NSAIDs or corticosteroids), and lifestyle modifications, or surgical interventions like discectomy or spinal fusion in cases of severe or persistent symptoms. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with neck pain and radiating symptoms, post-surgical follow-ups.
Ensure documentation reflects the severity and impact on daily activities.
Surgical notes, pre-operative assessments, and post-operative follow-up documentation.
Patients requiring surgical intervention for herniated discs or spinal stenosis.
Document the rationale for surgical intervention and any conservative treatments attempted.
Used when surgical intervention is required for cervical radiculopathy.
Operative report detailing the procedure and indications.
Orthopedic or neurosurgery documentation must support the need for surgery.
Common symptoms include neck pain, radiating pain to the arms, numbness, tingling, and weakness in the upper extremities, often exacerbated by certain movements.
