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ICD-10 Coding for Cervical Discogenic Disease(M50.02, M50.12)

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

Also known as:

Cervical Degenerative Disc DiseaseCervical Disc Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Cervical Discogenic Disease

M50.0-M50.9Primary Range

Cervical disc disorders

This range covers all cervical disc disorders, including those with myelopathy and radiculopathy.

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 myelopathyUse when imaging confirms spinal cord compression with clinical signs of myelopathy.
  • MRI showing spinal cord compression
  • Physical exam findings such as hyperreflexia or clonus
M50.12Cervical disc disorder with radiculopathyUse when radiculopathy is confirmed by clinical and diagnostic findings.
  • EMG/NCS confirmation of radiculopathy
  • Radicular pain following specific dermatome

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 discogenic disease

Essential facts and insights about Cervical Discogenic Disease

The ICD-10 code for cervical discogenic disease with myelopathy is M50.02, and with radiculopathy is M50.12.

Primary ICD-10-CM Codes for cervical discogenic disease

Cervical disc disorder with myelopathy
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of spinal cord compression on MRI

documentation Criteria

  • Detailed neurological exam findings

Applicable To

  • Cervical disc disorder with spinal cord compression

Excludes

  • Cervical spondylotic myelopathy (M47.12)

Clinical Validation Requirements

  • MRI showing spinal cord compression
  • Physical exam findings such as hyperreflexia or clonus

Code-Specific Risks

  • Misclassification if myelopathy is not clinically confirmed

Coding Notes

  • Ensure documentation specifies myelopathy and correlates with imaging findings.

Ancillary Codes

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

Chronic pain due to trauma

G89.21
Use if chronic pain management is the focus of the encounter.

Differential Codes

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

Cervical spondylotic myelopathy

M47.12
Presence of osteophytes causing myelopathy rather than disc herniation.

Cervical spondylotic radiculopathy

M47.22
Radiculopathy due to spondylosis rather than disc herniation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Cervical Discogenic Disease 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 misdiagnosis or inappropriate treatment., Regulatory: Could result in audit issues., Financial: Potential for denied claims or reduced reimbursement.

Mitigation Strategy

Use specific clinical terms and correlate with diagnostic findings., Ensure documentation is thorough and detailed.

Impact

Reimbursement: May result in lower reimbursement rates., Compliance: Could lead to compliance issues during audits., Data Quality: Reduces the accuracy of clinical data.

Mitigation Strategy

Always use the most specific code available based on clinical documentation.

Impact

Using unspecified codes when specific codes are available can trigger audits.

Mitigation Strategy

Always use the most specific code available and ensure documentation supports the code choice.

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 Discogenic Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Cervical Discogenic Disease

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

Cervical radiculopathy with imaging confirmation

Specialty: Neurosurgery

Required Elements

  • Imaging results
  • Neurological exam findings
  • Specific nerve root involvement

Example Documentation

Patient presents with C6 radiculopathy confirmed by MRI showing C5-C6 disc protrusion.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Neck pain with arm numbness.
Good Documentation Example
C6 radiculopathy with 2/5 grip weakness and absent biceps reflex.
Explanation
The good example specifies the affected nerve root and includes clinical findings.

Need help with ICD-10 coding for Cervical Discogenic Disease? Ask your questions below.

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