ICD Code M49.83

ICD code M4983 is used to identify spondylopathy, which refers to a disorder affecting the vertebrae, specifically in the cervicothoracic region of the spine. This code indicates that the spondylopathy is a result of diseases that are classified elsewhere in the ICD coding system. The cervicothoracic region encompasses the area where the cervical spine (neck) transitions into the thoracic spine (upper back), and conditions coded under M4983 typically involve complications or manifestations in this specific part of the spine due to underlying diseases.

When to use the ICD code M4983 for spondylopathy in diseases classified elsewhere, cervicothoracic region, consider the following diagnostic criteria and symptoms:

1. Presence of Cervicothoracic Pain
- Patient reports pain localized in the cervicothoracic region.

2. Neurological Symptoms
- Patient exhibits symptoms such as numbness, tingling, or weakness in the upper extremities.

3. Limited Range of Motion
- Physical examination reveals restricted movement in the neck and upper back.

4. Radiological Evidence
- Imaging studies (e.g., MRI, CT scans) show degenerative changes or abnormalities in the cervicothoracic area.

5. History of Underlying Conditions
- Patient has a documented history of diseases that may contribute to spondylopathy, such as rheumatoid arthritis or ankylosing spondylitis.

6. Chronic Symptoms
- Symptoms have persisted for an extended period, typically longer than three months.

7. Exclusion of Other Conditions
- Differential diagnosis has ruled out other potential causes of cervicothoracic pain, such as fractures or infections.

8. Functional Impairment
- Patient experiences difficulty performing daily activities due to pain or discomfort in the cervicothoracic region.

9. Response to Conservative Treatment
- Patient has not responded adequately to conservative management strategies, such as physical therapy or medication.

10. Referral for Specialist Evaluation
- Patient has been referred to a specialist for further evaluation and management of cervicothoracic symptoms.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code M4983 in clinical documentation and billing processes.

For the ICD code M4983, which pertains to spondylopathy in diseases classified elsewhere in the cervicothoracic region, the relevant CPT codes that may be applicable for treatment include:

1. CPT 99201-99205: Evaluation and management of a new patient, which may be necessary for initial assessment and diagnosis.

2. CPT 99211-99215: Evaluation and management of an established patient, for ongoing management and follow-up visits.

3. CPT 72040: Radiologic examination, spine, cervical; two or three views, which may be used for diagnostic imaging.

4. CPT 72146: Magnetic resonance imaging (MRI) of the spine, cervical; without contrast material, which can be used for detailed imaging.

5. CPT 72156: MRI of the spine, cervical; with contrast material(s), which may be used if enhanced imaging is required.

6. CPT 72141: Computed tomography (CT) of the spine, cervical; without contrast material, for further diagnostic evaluation.

7. CPT 20610: Arthrocentesis, aspiration, and/or injection into a major joint or bursa, which may be used for therapeutic purposes.

8. CPT 20552: Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s), which may be used for pain management.

9. CPT 97110: Therapeutic exercises to develop strength and endurance, range of motion, and flexibility, which may be part of a rehabilitation program.

10. CPT 97140: Manual therapy techniques, such as mobilization/manipulation, manual lymphatic drainage, and manual traction, which may be used as part of physical therapy.

These CPT codes are examples of procedures and services that might be relevant for the treatment and management of conditions associated with ICD code M4983. The specific codes used will depend on the individual patient's treatment plan and the healthcare provider's clinical judgment.

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