ICD-10 Coding for Cervical Spondylosis with Radiculopathy(M47.22)
Complete ICD-10-CM coding and documentation guide for Cervical Spondylosis with Radiculopathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cervical Spondylosis with Radiculopathy
M47.2-M47.9Primary Range
Other spondylosis with radiculopathy
This range includes codes for spondylosis with radiculopathy affecting different spinal regions.
Cervical disc disorders with radiculopathy
This range is used when radiculopathy is due to cervical disc disorders rather than spondylosis.
Key Information: ICD-10 code for cervical spondylosis with radiculopathy
Essential facts and insights about Cervical Spondylosis with Radiculopathy
Primary ICD-10-CM Code for cervical spondylosis with radiculopathy
Decision Criteria
clinical Criteria
- Presence of osteophytes or foraminal stenosis on imaging
documentation Criteria
- Explicit mention of spondylosis causing radiculopathy
Applicable To
- Cervical spondylosis with radiculopathy
Clinical Validation Requirements
- Radiological evidence of osteophytes or foraminal stenosis
- Symptoms of radiculopathy such as pain, numbness, or weakness in the arm
Code-Specific Risks
- Misclassification if the cause of radiculopathy is not clearly documented as spondylosis.
Coding Notes
- Ensure documentation specifies spondylosis as the cause of radiculopathy.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Cervical disc disorder with radiculopathy
M50.1-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cervical Spondylosis with Radiculopathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M47.22.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Potential for audit issues., Financial: Denied claims and reimbursement issues.
Mitigation Strategy
Ensure thorough clinical documentation., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation clearly links radiculopathy to spondylosis.
Impact
Using M54.12 instead of M47.22 for spondylosis-related radiculopathy.
Mitigation Strategy
Educate staff on correct code selection and documentation requirements.
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 Spondylosis with Radiculopathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cervical Spondylosis with Radiculopathy
Use these documentation templates to ensure complete and accurate documentation for Cervical Spondylosis with Radiculopathy. These templates include all required elements for proper coding and billing.
Neurosurgery Consultation
Specialty: NeurosurgeryRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Diagnosis and treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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