G95.20 Unspecified cord compression

ICD10CM code

#### Name of the Condition
- Unspecified Cord Compression
- Medical Term: G95.20

#### Summary
Unspecified cord compression refers to a condition where there is pressure on the spinal cord that is not attributed to a specific cause. This compression can affect normal spinal cord functions, leading to various neurological symptoms.

#### Causes
- **Disc herniation**: Displacement of the spinal disc material.
- **Tumors**: Benign or malignant growths affecting the spinal region.
- **Trauma**: Physical injury to the spine.
- **Infections**: Such as abscesses pressing on the spinal cord.
- **Degenerative diseases**: Conditions like arthritis affecting the spine.

#### Risk Factors
- Age, especially in older adults.
- Previous spinal injuries or surgeries.
- History of osteoarthritis or other degenerative diseases.
- Presence of tumors or chronic infections.

#### Symptoms
- Pain or numbness in the back, neck, or limbs.
- Weakness or difficulty coordinating movement.
- Loss of bladder or bowel control in severe cases.
- Sensory changes such as tingling or burning sensations.

#### Diagnosis
- **MRI**: To visualize soft tissues and detect compression.
- **CT scan**: For detailed images of bony structures.
- **Myelography**: Injection of contrast dye into the spinal canal for x-ray imaging.
- Physical and neurological examinations to assess symptoms.

#### Treatment Options
- **Medications**: Anti-inflammatory drugs or pain relievers to reduce symptoms.
- **Physical therapy**: To strengthen muscles and improve mobility.
- **Surgery**: To relieve compression, such as decompression surgery.
- **Steroid injections**: To reduce inflammation and alleviate pain.

#### Prognosis and Follow-Up
- The prognosis varies, depending heavily on the underlying cause and the promptness of treatment.
- Continuous monitoring through follow-up appointments to prevent recurrence and manage ongoing symptoms.

#### Complications
- Permanent neurological damage if treatment is delayed.
- Chronic pain or disability due to untreated compression.
- Possible paralysis in extreme cases.

#### Lifestyle & Prevention
- Maintaining a healthy weight to reduce strain on the spine.
- Regular exercise to strengthen back muscles.
- Avoiding activities that are likely to cause injury to the back.
- Proper ergonomics during daily activities to minimize risk.

#### When to Seek Professional Help
- Sudden, severe back pain accompanied by numbness or weakness in limbs.
- Loss of bladder or bowel control.
- Symptoms worsening despite rest and over-the-counter treatment.

#### Additional Resources
- [Spinal Cord Injury Information Network](http://www.spinalcord.uab.edu)
- [American Spinal Injury Association](https://asia-spinalinjury.org)

#### Tips for Medical Coders
- Ensure accurate capture of unspecified status if the exact cause of compression isn't diagnosed.
- Confirm associated symptoms and affected regions for detailed documentation.
- Cross-reference with patient history to avoid attaching erroneous specific codes.

Medical Policies and Guidelines for Unspecified cord compression

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