ICD-10 Coding for Thoracic Spondylosis(M47.814)
Complete ICD-10-CM coding and documentation guide for Thoracic Spondylosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thoracic Spondylosis
Key Information: ICD-10 code for thoracic spondylosis
Essential facts and insights about Thoracic Spondylosis
Primary ICD-10-CM Code for thoracic spondylosis
Decision Criteria
clinical Criteria
- Imaging shows degenerative changes without neurological symptoms.
documentation Criteria
- Explicit statement of 'thoracic spondylosis without spinal cord or nerve root involvement'.
Applicable To
- Degenerative joint disease of thoracic spine
Clinical Validation Requirements
- Imaging confirms osteophyte formation at T6-T8 with disc space narrowing
- No cord compression or radicular symptoms
Code-Specific Risks
- Incorrectly coding as M47.9 which is non-specific
Coding Notes
- Ensure documentation specifies 'without myelopathy or radiculopathy'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in thoracic spine
M54.6Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Spondylosis with radiculopathy, thoracic region
M47.24Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Thoracic Spondylosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M47.814.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Fails to meet documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'thoracic spondylosis'., Document imaging results.
Impact
Reimbursement: May lead to incorrect reimbursement levels., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure specific documentation of thoracic region and absence of neurological symptoms.
Impact
Risk of audits due to non-specific coding.
Mitigation Strategy
Ensure documentation clearly states the absence of neurological symptoms.
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 Thoracic Spondylosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thoracic Spondylosis
Use these documentation templates to ensure complete and accurate documentation for Thoracic Spondylosis. These templates include all required elements for proper coding and billing.
Orthopedic Assessment
Specialty: OrthopedicsRequired Elements
- Imaging results
- Neurological exam findings
- Pain assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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