ICD Code M50.823

ICD code M50.823 refers to other cervical disc disorders located at the C6-C7 level of the spine. This code is used to classify and document conditions affecting the intervertebral discs between the sixth and seventh cervical vertebrae. These disorders can include issues such as disc degeneration, herniation, or other abnormalities that may cause neck pain, stiffness, or neurological symptoms due to nerve compression. Proper coding of this condition is crucial for accurate diagnosis, treatment planning, and reimbursement processes within the healthcare revenue cycle.

When to use the ICD code M50823 for other cervical disc disorders at the C6-C7 level, consider the following diagnostic criteria and symptoms:

1. Patient History
- Documented history of cervical spine issues or previous cervical disc disorders.

2. Clinical Symptoms
- Presence of neck pain localized to the C6-C7 region.
- Radiating pain or numbness in the upper extremities, particularly affecting the shoulders, arms, or hands.

3. Neurological Examination
- Evidence of neurological deficits, such as weakness or sensory changes in the upper limbs.
- Reflex changes in the biceps or triceps.

4. Imaging Studies
- MRI or CT scan findings indicating degeneration, herniation, or other abnormalities at the C6-C7 disc level.
- Disc bulging or protrusion observed on imaging.

5. Functional Limitations
- Impairment in range of motion in the cervical spine.
- Difficulty performing daily activities due to pain or discomfort in the neck and upper extremities.

6. Exclusion of Other Conditions
- Ruling out other potential causes of symptoms, such as fractures, tumors, or inflammatory diseases affecting the cervical spine.

7. Response to Conservative Treatment
- Lack of improvement or worsening of symptoms despite conservative management, such as physical therapy or medication.

By adhering to these criteria, healthcare providers can accurately determine the appropriate use of the ICD code M50823 in their documentation and billing processes.

For the ICD code M50.823, which pertains to other cervical disc disorders at the C6-C7 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 20930 - Allograft, morselized, or placement of osteopromotive material, for spine surgery only.

8. CPT 20931 - Allograft, structural, for spine surgery only.

These CPT codes are commonly associated with surgical and non-surgical interventions for cervical disc disorders at the C6-C7 level. It is important for healthcare providers to verify the specific procedures performed and ensure accurate coding for reimbursement purposes.

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