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ICD-10 Coding for Cervical Cord Compression with Myelopathy(M50.02, G99.2)

Complete ICD-10-CM coding and documentation guide for Cervical Cord Compression with Myelopathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cervical MyelopathyCervical Spinal Cord Compression

Related ICD-10 Code Ranges

Complete code families applicable to Cervical Cord Compression with Myelopathy

M50.0-M50.9Primary Range

Cervical disc disorders

This range includes cervical disc disorders with myelopathy, which is the primary condition being addressed.

Myelopathy in diseases classified elsewhere

Used when myelopathy is secondary to another condition, such as spinal stenosis.

Spinal stenosis

Relevant when cervical myelopathy is due to spinal stenosis rather than disc disorder.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
M50.02Cervical disc disorder with myelopathy, mid-cervical regionUse when myelopathy is due to a mid-cervical disc disorder.
  • MRI showing mid-cervical disc herniation with cord compression
  • Clinical signs of myelopathy such as hyperreflexia
G99.2Myelopathy in diseases classified elsewhereUse when myelopathy is secondary to another condition like spinal stenosis.
  • Documentation of underlying condition causing myelopathy

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for cervical cord compression with myelopathy

Essential facts and insights about Cervical Cord Compression with Myelopathy

The ICD-10 code for cervical cord compression with myelopathy is M50.02 for mid-cervical disc disorders with myelopathy. Ensure documentation specifies the exact cervical level affected.

Primary ICD-10-CM Codes for cervical cord compression with myelopathy

Cervical disc disorder with myelopathy, mid-cervical region
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of myelopathy symptoms and MRI confirmation of mid-cervical disc disorder.

Applicable To

  • C4-C7 disc disorders with myelopathy

Excludes

  • Radiculopathy without myelopathy

Clinical Validation Requirements

  • MRI showing mid-cervical disc herniation with cord compression
  • Clinical signs of myelopathy such as hyperreflexia

Code-Specific Risks

  • Ensure documentation specifies the exact cervical level.

Coding Notes

  • Ensure MRI findings correlate with clinical symptoms.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Cervicalgia

M54.2
Use to document associated neck pain.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Cervical disc disorder with myelopathy, high cervical region

M50.01
Use when the disorder is at C1-C3 levels.

Cervical disc disorder with myelopathy, mid-cervical region

M50.02
Use when myelopathy is due to a disc disorder.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Cervical Cord Compression with Myelopathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M50.02.

Impact

Clinical: May lead to incorrect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation Strategy

Use structured templates for documentation., Regular training on documentation standards.

Impact

Reimbursement: May lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Always use the most specific code available based on documentation.

Impact

Risk of using unspecified codes when specific ones are available.

Mitigation Strategy

Ensure documentation supports the most specific code.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Cervical Cord Compression with Myelopathy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Cervical Cord Compression with Myelopathy

Use these documentation templates to ensure complete and accurate documentation for Cervical Cord Compression with Myelopathy. These templates include all required elements for proper coding and billing.

Cervical Myelopathy due to Disc Disorder

Specialty: Neurology

Required Elements

  • Neurological findings
  • Imaging confirmation
  • Symptom localization
  • Etiology

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has neck pain with myelopathy.
Good Documentation Example
MRI demonstrates C6-C7 disc extrusion causing >30% canal compromise with T2 hyperintensity. Physical exam shows positive Hoffman's sign, hyperreflexia (3+), and 10-second grip-release test abnormality.
Explanation
The good example provides specific imaging and clinical findings, which are necessary for accurate coding.

Need help with ICD-10 coding for Cervical Cord Compression with Myelopathy? Ask your questions below.

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