M47.12 Other spondylosis with myelopathy, cervical region

ICD10CM code

#### Name of the Condition
- Other spondylosis with myelopathy, cervical region
- Also known as cervical spondylotic myelopathy

#### Summary
Cervical spondylotic myelopathy is a condition where degenerative changes in the cervical spine lead to compression of the spinal cord, potentially causing neurological deficits. This condition primarily affects the neck region and can result in a range of symptoms due to spinal cord compression.

#### Causes
- Degenerative changes such as bone spur formation, thickening of ligaments, and herniated discs.
- Age-related wear and tear of the cervical spine.

#### Risk Factors
- Being over 50 years of age.
- Genetic predisposition to spinal degenerative changes.
- Occupational or lifestyle factors involving repetitive neck motion or heavy lifting.

#### Symptoms
- Neck pain and stiffness.
- Numbness or tingling in the arms, hands, or legs.
- Difficulty with coordination, especially in the hands.
- Weakness in the arms or legs.
- Gait disturbances or balance issues.

#### Diagnosis
- Clinical evaluation of symptoms and physical examination.
- Imaging tests such as MRI or CT scan to assess spinal cord compression.
- EMG (electromyography) and nerve conduction studies may be used to evaluate nerve function.

#### Treatment Options
- Non-surgical treatments include physical therapy and pain management with medications such as NSAIDs or corticosteroids.
- Surgical options like decompression surgery or spinal fusion to relieve pressure on the spinal cord.
- Treatment aims to alleviate symptoms and improve quality of life.

#### Prognosis and Follow-Up
- Early diagnosis and treatment improve prognosis; untreated, it may lead to permanent neurological damage.
- Regular follow-ups to monitor symptom progression or improvement and adjust treatments as needed.

#### Complications
- Permanent neurological deficits if untreated.
- Increased risk of falls due to balance issues.

#### Lifestyle & Prevention
- Maintain good posture and ergonomics, especially during work.
- Regular exercise to strengthen neck muscles.
- Avoid smoking and maintain a healthy weight to reduce spine strain.

#### When to Seek Professional Help
- Seek immediate medical attention for severe neck pain, sudden weakness, or loss of balance.
- Consult a doctor for persistent or worsening symptoms.

#### Additional Resources
- North American Spine Society (https://www.spine.org)
- American Academy of Neurology (https://www.aan.com)

#### Tips for Medical Coders
- Ensure the accuracy of anatomical location (cervical region) when coding.
- Verify the presence of myelopathy when using M47.12; use additional codes for associated neurological symptoms, if necessary.
  
- Watch for documentation differentiating between spondylosis without myelopathy, which has different coding requirements.

Medical Policies and Guidelines for Other spondylosis with myelopathy, cervical region

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