Neurology & Pain Management Coding Alert
Presence of Radiculopathy Distinguishes M47.812 From M47.892
Question: Our physician documented cervical spondylosis affecting the C2-3 and C3-4 joints. Is the correct diagnosis M47.891 or M47.892?
Minnesota Subscriber
Answer: ICD-10 diagnosis M47.892 (Other spondylosis, cervical region) is an appropriate starting point, as well as M47.891 (Other spondylosis, occipito-atlanto-axial region) is specifically for the C0-C1 and C1-C2 spinal levels. However, check the notes for documentation of whether the patient has spondylosis with radiculopathy of the cervical region or has no myelopathy or radiculopathy. A more specific diagnosis might be either M47.812 (Spondylosis without myelopathy or radiculopathy, cervical region) or M47.22 (Other spondylosis with radiculopathy, cervical region), depending on the answer to those questions.
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