M50.222 Other cervical disc displacement at C5-C6 level

ICD10CM code

#### Name of the Condition
- Other Cervical Disc Displacement at C5-C6 Level
- Also known as Herniated Disc, Slipped Disc, or Bulged Disc at the Neck (specifically at the C5-C6 vertebral level).

#### Summary
Cervical disc displacement at the C5-C6 level involves the shifting or herniation of the intervertebral disc between the fifth and sixth cervical vertebrae. This condition can lead to neck pain and possibly impinge on spinal nerves, causing discomfort or weakness in the arms.

#### Causes
- Degenerative disc disease due to aging.
- Physical trauma or injury to the neck region.
- Sudden strain on the neck muscles and spine.

#### Risk Factors
- Increasing age.
- History of neck injuries or trauma.
- Occupations or activities that place excessive stress on the neck.
- Genetic predisposition to disc degeneration.

#### Symptoms
- Neck pain or stiffness.
- Radiating pain in the shoulder and arm.
- Numbness or tingling in the arms or hands.
- Muscle weakness in upper limbs.

#### Diagnosis
- Physical examination to assess neck movement and reflexes.
- Imaging techniques such as MRI or CT scans to visualize the disc displacement.
- Electromyography (EMG) to evaluate nerve function.

#### Treatment Options
- **Physical Therapy:** Exercises to strengthen neck muscles and improve flexibility.
- **Medications:** Pain relievers and anti-inflammatory drugs to reduce pain and swelling.
- **Corticosteroid Injections:** To decrease inflammation around the affected disc.
- **Surgical Intervention:** Procedures like discectomy or spinal fusion may be necessary for severe cases.

#### Prognosis and Follow-Up
- Many patients experience significant symptom relief with appropriate treatment.
- Regular follow-ups are essential to monitor progress and prevent further episodes.

#### Complications
- Permanent nerve damage if left untreated.
- Chronic pain affecting quality of life.
- Possibility of further disc degeneration.

#### Lifestyle & Prevention
- Maintain proper posture while sitting and standing.
- Engage in neck-strengthening exercises.
- Avoid activities that put undue stress on the neck.
- Use ergonomic workstations to minimize strain.

#### When to Seek Professional Help
- Severe or worsening neck pain.
- Numbness or weakness in limbs that affect daily activities.
- Loss of bladder or bowel control (urgent condition requiring immediate attention).

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- Spine-health.com patient resources
- National Institute of Neurological Disorders and Stroke (NINDS)

#### Tips for Medical Coders
- Verify the specific cervical level (C5-C6) involved in the displacement.
- Ensure correct usage of the M50.222 code, which is specific for "Other cervical disc displacement at C5-C6 level."
- Double-check for any associated nerve impairment codes to provide comprehensive coding.

Medical Policies and Guidelines for Other cervical disc displacement at C5-C6 level

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