ICD-10 Coding for Spondylosis with Radiculopathy(M47.22, M47.26)
Complete ICD-10-CM coding and documentation guide for 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 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 for cervical disc disorders with radiculopathy, differentiating from spondylosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M47.22 | Other spondylosis with radiculopathy, cervical region | Use when cervical spondylosis is confirmed with radiculopathy symptoms. |
|
| M47.26 | Other spondylosis with radiculopathy, lumbar region | Use when lumbar spondylosis is confirmed with radiculopathy symptoms. |
|
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 spondylosis with radiculopathy
Essential facts and insights about Spondylosis with Radiculopathy
Primary ICD-10-CM Codes for spondylosis with radiculopathy
Decision Criteria
clinical Criteria
- Presence of cervical spondylosis with radicular symptoms
Applicable To
- Cervical spondylosis with radiculopathy
Excludes
- M50.1- Cervical disc disorders with radiculopathy
Clinical Validation Requirements
- MRI showing nerve root compression
- Symptoms of radicular pain in arms
Code-Specific Risks
- Incorrectly using with M54.1- codes
Coding Notes
- Ensure documentation specifies cervical region and radiculopathy.
M47.26 - Other spondylosis with radiculopathy, lumbar region
Use when lumbar spondylosis is confirmed with radiculopathy symptoms.
Applicable To
- Lumbar spondylosis with radiculopathy
Excludes
- M54.16 Radiculopathy, lumbar region
Clinical Validation Requirements
- CT showing foraminal stenosis
- Symptoms of sciatica
Coding Notes
Ensure documentation specifies lumbar region and radiculopathy.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting 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: Misdiagnosis risk, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific anatomical terms, Correlate symptoms with imaging
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Avoid using M54.1- codes when M47.2- codes are applicable due to Excludes1 notes.
Impact
Using incompatible codes together, such as M54.1- with M47.2-.
Mitigation Strategy
Educate coding staff on Excludes1 notes and proper code combinations.
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 Spondylosis with Radiculopathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Spondylosis with Radiculopathy
Use these documentation templates to ensure complete and accurate documentation for Spondylosis with Radiculopathy. These templates include all required elements for proper coding and billing.
Cervical Radiculopathy Evaluation
Specialty: NeurosurgeryRequired Elements
- History of present illness
- Imaging results
- Neurological exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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