ICD Code M51.34

ICD code M51.34 is used to identify a medical condition characterized by the degeneration of intervertebral discs specifically in the thoracic region of the spine. This condition involves the breakdown or deterioration of the discs that act as cushions between the vertebrae in the middle part of the spine, which can lead to pain, reduced mobility, and other related symptoms. The thoracic region refers to the part of the spine that is connected to the rib cage, and degeneration in this area can affect posture and overall spinal health. This code is utilized by healthcare providers for accurate diagnosis, treatment planning, and billing purposes.

When to use the ICD code M5134 for Other intervertebral disc degeneration, thoracic region:

1. Presence of Symptoms:
- Patient reports persistent thoracic pain or discomfort.
- Symptoms may include localized pain in the thoracic spine area.
- Radiating pain or numbness in the upper back or chest.

2. Diagnostic Imaging Findings:
- MRI or CT scans reveal degeneration of intervertebral discs in the thoracic region.
- Evidence of disc bulging or herniation in the thoracic spine.

3. Physical Examination Results:
- Limited range of motion in the thoracic spine.
- Tenderness upon palpation of the thoracic vertebrae.
- Neurological deficits indicating possible nerve involvement.

4. Exclusion of Other Conditions:
- Rule out other causes of thoracic pain, such as fractures, infections, or malignancies.
- Ensure that the symptoms are not attributable to referred pain from abdominal or cardiac issues.

5. Chronicity of Symptoms:
- Symptoms have been present for an extended period, typically more than three months.
- Patient has not responded to conservative treatment measures.

6. Impact on Daily Activities:
- Symptoms significantly interfere with the patient’s daily activities or quality of life.
- Patient reports difficulty with tasks that require upper body movement or prolonged sitting.

7. History of Related Conditions:
- Patient has a history of degenerative disc disease or other spinal disorders.
- Previous episodes of thoracic pain that have been documented.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine the appropriate use of the ICD code M5134.

For the ICD code M51.34, which pertains to other intervertebral disc degeneration in the thoracic region, the relevant CPT codes that may be applicable for treatment include:

1. CPT 62287 - Aspiration or decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method, single or multiple levels, lumbar (including use of an endoscope or other visualization), with imaging guidance (e.g., fluoroscopy, CT), when performed.

2. CPT 63030 - Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, one interspace, lumbar.

3. CPT 63042 - Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, re-exploration, single interspace; lumbar.

4. CPT 22899 - Unlisted procedure, spine.

5. CPT 22556 - Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic.

6. CPT 22845 - Anterior instrumentation; 2 to 3 vertebral segments.

These CPT codes are examples of procedures that might be considered for addressing the condition associated with ICD code M51.34. The selection of specific CPT codes should be based on the individual patient's clinical scenario and the healthcare provider's treatment plan.

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