ICD Code M50.322

ICD code M50322 is used to classify and document a medical diagnosis of "Other cervical disc degeneration at C5-C6 level." This code specifically refers to the degeneration of the intervertebral disc located between the fifth and sixth cervical vertebrae in the neck. Such degeneration can lead to symptoms like neck pain, stiffness, or even radiating pain into the arms if nerve roots are affected. This code helps healthcare providers accurately record and communicate the condition for treatment planning, billing, and statistical purposes.

When considering the use of the ICD code M50322, the following diagnostic criteria and symptoms should be evaluated:

1. Patient History
- Previous diagnosis of cervical disc degeneration or related spinal conditions.
- History of neck pain or discomfort.

2. Clinical Symptoms
- Persistent neck pain localized to the C5-C6 region.
- Radiating pain or numbness in the shoulders, arms, or hands.
- Muscle weakness in the upper extremities.

3. Physical Examination Findings
- Limited range of motion in the cervical spine.
- Tenderness upon palpation of the C5-C6 area.
- Neurological deficits observed during examination.

4. Imaging Studies
- MRI or CT scans indicating degeneration of the cervical disc at the C5-C6 level.
- Evidence of disc herniation or bulging affecting surrounding structures.

5. Functional Impairment
- Difficulty performing daily activities due to neck pain or associated symptoms.
- Impact on occupational duties or recreational activities.

6. Response to Conservative Treatment
- Lack of improvement with physical therapy, medications, or other non-invasive treatments.
- Consideration of surgical options if conservative measures fail.

7. Exclusion of Other Conditions
- Ruling out other potential causes of cervical pain or neurological symptoms, such as fractures, tumors, or infections.

These criteria should be thoroughly assessed to determine the appropriateness of using the specified ICD code.

For the ICD code M50.322, which pertains to other cervical disc degeneration at the C5-C6 level, 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 - Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace.

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

7. CPT 22853 - Insertion of interbody biomechanical device(s) (e.g., synthetic cage, mesh) with integral anterior instrumentation for device anchoring (e.g., screws, flanges) when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace.

These CPT codes are typically used for surgical procedures that address cervical disc degeneration, particularly at the C5-C6 level. It is important for healthcare providers to verify the specific procedures and services rendered to ensure accurate coding and billing.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M50322. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.