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ICD-10 Coding for Cervical Disc Bulging(M50.22)

Complete ICD-10-CM coding and documentation guide for Cervical Disc Bulging. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cervical Disc ProtrusionCervical Disc Herniation

Related ICD-10 Code Ranges

Complete code families applicable to Cervical Disc Bulging

M50.0-M50.9Primary Range

Cervical disc disorders

This range covers all cervical disc disorders including displacement, degeneration, and associated conditions like myelopathy and radiculopathy.

Key Information: ICD-10 code for cervical disc bulging

Essential facts and insights about Cervical Disc Bulging

The ICD-10 code for cervical disc bulging with radiculopathy is M50.22, indicating mid-cervical region involvement.

Primary ICD-10-CM Code for cervical disc bulging

Other cervical disc displacement, mid-cervical region
Non-billable Code

Decision Criteria

clinical Criteria

  • MRI confirms disc bulge at C5-C6 with radiculopathy.

Applicable To

  • C5-C6 disc bulge with radiculopathy

Excludes

  • Cervical spondylosis without myelopathy or radiculopathy (M47.2-)

Clinical Validation Requirements

  • MRI showing disc bulge at C5-C6
  • Clinical symptoms of radiculopathy

Code-Specific Risks

  • Misidentifying the specific cervical region

Coding Notes

  • Ensure documentation specifies the exact cervical level and presence of radiculopathy.

Ancillary Codes

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

MRI of cervical spine

72156
Use to confirm disc bulge and nerve compression.

Differential Codes

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

Cervicalgia

M54.2
Use M54.2 for neck pain without confirmed disc pathology.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Cervical Disc Bulging to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M50.22.

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Use specific terms like 'C5-C6 disc bulge with radiculopathy'.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Verify the specific cervical region in imaging reports before coding.

Impact

Audits may target incorrect cervical level coding.

Mitigation Strategy

Ensure imaging reports are accurately reflected in documentation.

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 Disc Bulging, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Cervical Disc Bulging

Use these documentation templates to ensure complete and accurate documentation for Cervical Disc Bulging. These templates include all required elements for proper coding and billing.

Cervical disc bulge with radiculopathy

Specialty: Neurosurgery

Required Elements

  • Patient history
  • Physical examination
  • Imaging results
  • Diagnosis

Example Documentation

Patient reports 3 months of left arm radicular pain, worsening with neck extension. MRI shows 3mm left paracentral disc bulge at C5-C6 compressing C6 nerve root.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Neck pain, MRI shows disc issues.
Good Documentation Example
C5-C6 left paracentral disc bulge (4mm) compressing C6 nerve root, correlating with left thumb numbness and positive Spurling’s test. MRI report #12345.
Explanation
The good example provides specific details about the disc bulge, its location, and associated symptoms, ensuring accurate coding.

Need help with ICD-10 coding for Cervical Disc Bulging? Ask your questions below.

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