ICD code M5092 is used to classify an unspecified cervical disc disorder in the mid-cervical region for healthcare documentation.
ICD code M5092 is used to identify a cervical disc disorder that is unspecified, occurring in the mid-cervical region of the 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. The "M50" category specifically pertains to disorders of the cervical disc, which are the discs located in the neck region of the spine. The "92" indicates that the disorder is unspecified, meaning that while a cervical disc issue is present, the exact nature or cause of the disorder has not been clearly defined. This code helps in documenting the condition for treatment, billing, and statistical purposes.
When to use the ICD code for cervical disc disorder, unspecified, mid-cervical region:
1. Patient Presentation:
- Patient reports neck pain or discomfort.
- Symptoms may radiate to the shoulders or arms.
2. Physical Examination Findings:
- Limited range of motion in the cervical spine.
- Tenderness upon palpation of the cervical region.
3. Neurological Symptoms:
- Presence of numbness or tingling in the upper extremities.
- Weakness in the arms or hands.
4. Imaging Results:
- MRI or CT scan indicates abnormalities in the cervical discs without specific identification of the disorder.
- Disc degeneration or herniation noted in the mid-cervical region.
5. Duration of Symptoms:
- Symptoms persisting for a significant period, typically more than a few weeks.
- Chronic pain that affects daily activities or quality of life.
6. Exclusion of Other Conditions:
- Rule out other potential causes of neck pain, such as fractures, infections, or tumors.
- No definitive diagnosis of a specific cervical disc disorder identified.
7. Treatment History:
- Previous conservative treatments (e.g., physical therapy, medications) have been ineffective.
- Consideration for further intervention or management strategies.
Using the ICD code is appropriate when these diagnostic criteria and symptoms are present, indicating a need for classification and billing purposes in healthcare settings.
For the ICD code M5092, which pertains to a cervical disc disorder 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.
8. CPT 20931 - Allograft, structural, for spine surgery only.
These CPT codes are typically used in procedures addressing cervical disc disorders and may vary based on the specific treatment plan and surgical approach. Always ensure to verify the most current coding guidelines and payer-specific requirements.
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 M5092. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.