ICD Code M50.22

ICD code M5022 refers to "Other cervical disc displacement, mid-cervical region." This code is used to classify and document a condition where there is an abnormal displacement of an intervertebral disc in the mid-cervical region of the spine, which typically includes the C4-C5 and C5-C6 vertebrae. This displacement can lead to symptoms such as neck pain, stiffness, and potentially radiating pain or neurological symptoms if the displaced disc impinges on nearby nerves. Proper coding of this condition is crucial for accurate medical billing and ensuring that healthcare providers receive appropriate reimbursement for the diagnosis and treatment of this spinal issue.

When to use the ICD code M5022 for Other cervical disc displacement, mid-cervical region, consider the following diagnostic criteria and symptoms:

1. Patient History
- Presence of neck pain or discomfort.
- History of trauma or injury to the cervical spine.
- Previous episodes of cervical disc issues.

2. Physical Examination Findings
- Limited range of motion in the cervical spine.
- Tenderness upon palpation of the cervical region.
- Neurological deficits, such as weakness or numbness in the upper extremities.

3. Imaging Studies
- MRI or CT scan showing displacement of cervical discs in the mid-cervical region.
- Evidence of disc herniation or degeneration in imaging results.

4. Symptoms
- Radiating pain into the shoulders, arms, or hands.
- Tingling or numbness in the upper extremities.
- Muscle weakness in the arms or hands.

5. Functional Impact
- Difficulty performing daily activities due to pain or limited mobility.
- Impairment in work-related tasks that require neck movement or upper body strength.

6. Response to Conservative Treatment
- Lack of improvement with physical therapy, medications, or other non-surgical interventions.
- Persistent symptoms despite conservative management efforts.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code M5022 for accurate documentation and billing purposes.

For the ICD code M50.22, which pertains to other cervical disc displacement in the mid-cervical region, the relevant CPT codes that may be applicable for treatment include:

1. CPT 22551 - Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2.

2. CPT 22554 - Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2.

3. CPT 22845 - Anterior instrumentation; 2 to 3 vertebral segments.

4. CPT 22846 - Anterior instrumentation; 4 to 7 vertebral segments.

5. CPT 63075 - Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace.

6. CPT 63076 - Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace.

7. CPT 20930 - Allograft, morselized, or placement of osteopromotive material, for spine surgery only.

These CPT codes are commonly associated with surgical procedures that may be performed to address cervical disc displacement issues in the mid-cervical region. It is important for healthcare providers to verify the specific procedures and services rendered to ensure accurate coding and billing.

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