ICD Code M50.90

ICD code M5090 is used to identify a cervical disc disorder that is unspecified in nature and affects an unspecified region of the cervical spine. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. In this case, the code M5090 indicates that the patient has a disorder related to the discs in the cervical spine, but the specific type of disorder and the exact location within the cervical region are not detailed. This code is often used when the available information is insufficient to assign a more specific diagnosis.

When to use the ICD code M5090 for cervical disc disorder, unspecified, unspecified cervical region:

1. Presence of Neck Pain
- Patient reports persistent or intermittent neck pain.

2. Radiating Pain
- Pain radiating into the shoulders, arms, or upper back.

3. Limited Range of Motion
- Difficulty or pain when moving the neck, indicating restricted mobility.

4. Neurological Symptoms
- Numbness, tingling, or weakness in the arms or hands.

5. Muscle Spasms
- Involuntary muscle contractions or spasms in the neck region.

6. History of Trauma
- Recent history of injury or trauma to the cervical spine.

7. Diagnostic Imaging Findings
- MRI or CT scan results indicating disc degeneration or herniation without specific identification of the affected disc.

8. Failure of Conservative Treatment
- Lack of improvement after conservative management such as physical therapy, medication, or rest.

9. Chronic Symptoms
- Symptoms persisting for an extended period, typically longer than three months.

10. Exclusion of Other Conditions
- Other potential causes of neck pain have been ruled out through clinical evaluation and diagnostic testing.

For the ICD code M5090, which pertains to a cervical disc disorder, unspecified, unspecified cervical region, the relevant CPT codes that may be applicable for treatment include:

1. CPT 62270 - Spinal puncture, lumbar, diagnostic.

2. CPT 62272 - Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter).

3. CPT 62321 - Injection(s), of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (i.e., fluoroscopy or CT).

4. CPT 63020 - Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; one interspace, cervical.

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

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

These CPT codes are examples of procedures that might be performed to address issues related to the cervical disc disorder indicated by ICD code M5090. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment and procedures performed.

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