ICD Code M50.33

ICD code M50.33 is other cervical disc degeneration in the cervicothoracic region, meaning there is degeneration or wear-and-tear of the discs between the cervical (neck) and upper thoracic (upper back) spine, but not specified as a more common or classic type.

1. Presence of degenerative changes in the intervertebral discs at the cervicothoracic junction (C7-T1)

2. Imaging evidence (MRI, CT, or X-ray) confirming disc degeneration at the cervicothoracic region

3. Chronic neck pain localized to the lower cervical and upper thoracic spine

4. Stiffness or reduced range of motion in the cervicothoracic area

5. Absence of acute trauma or recent injury as the primary cause of symptoms

6. Exclusion of other specific disc disorders such as herniation or spondylosis at the same level

7. Symptoms may include radiating pain, numbness, or tingling into the shoulder, upper back, or arm, corresponding to nerve root involvement at the cervicothoracic level

Relevant CPT codes for ICD-10 code M50.33 may include:

- 22551: Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy, and decompression of spinal cord and/or nerve roots; cervical below C2

- 22552: Each additional interspace, cervical

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

- 63076: Each additional cervical interspace

- 22845: Anterior instrumentation; cervical

- 22846: Anterior instrumentation; thoracic

- 22853: Insertion of interbody biomechanical device(s)

- 72141: MRI, cervical spine, without contrast

- 72142: MRI, cervical spine, with contrast

- 72156: MRI, cervical spine, without and with contrast

CPT code selection should be based on the specific procedure performed and clinical documentation.

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