Spinal stenosis, lumbar region
Cervical Posterior Decompression with Fusion— Single Level** 22590, 22595, 22600 Cervical Posterior Decompression (for single level fusion) 63001, 63020, 63040, 63045, 63050 Instrumentation: +22840, +22841 Bone Grafts: +20930, +20931, +20936, +20937 Cervical Posterior Decompression with Fusion— Multiple Levels **
Cervical stenosis occurs when the spinal canal narrows and compresses the spinal cord and is most frequently caused by aging. The discs in the spine that separate and cushion vertebrae may dry out and herniate. As a result, the space between the vertebrae shrinks, and the discs lose their ability to act as shock absorbers.
ICD-9 Code Transition: 723.1 Code M54.2 is the diagnosis code used for Cervicalgia (Neck Pain). It is a common problem, with two-thirds of the population having neck pain at some point in their lives .
ICD-10-CM Code for Other cervical disc degeneration, unspecified cervical region M50. 30.
Other intervertebral disc degeneration, lumbar region M51. 36 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M51. 36 became effective on October 1, 2021.
Degenerative disc disease is regarded as a non-standard term when used as an imaging description as it implies causality between degenerative change and symptoms. The terms "degenerated disc" or "disc degeneration" is preferred 4.
721.0ICD-9 Code 721.0 -Cervical spondylosis without myelopathy- Codify by AAPC.
According to Coding Clinic: “Assign code M16. 0—Bilateral primary osteoarthritis of hip for degenerative changes of hips”. Coding Clinic's rationale is, “ICD-10- CM's Alphabetic Index under “Degeneration, joint disease” instructs “see Osteoarthritis.”
Degenerative disc disease, or DDD, indicates that the intervertebral disc has undergone degenerative, wear-and-tear (arthritic) changes, which may or may not lead to significant spinal problems. These degenerative changes may occur alone or in combination with other lumbar disorders such as a herniated disc.
To summarize degenerative disc disease takes time the disc is just wearing out, losing the water and gel components that support your back overtime. Herniated disc is where the content is still there it is not drying out it just bulging and causing sometimes a different type of pain.
domain-driven design (DDD)
Discs often degenerate with age causing vertebrae to sit closer together. This is part of the reason we shrink with age. Degenerative discs can lead to pain via multiple pathways. Spinal stenosis is another condition of the spine where the central canal diameter is reduced much like a pipe that becomes clogged.
M47. 812 Spondylosis w/o myelopathy or radiculopathy, cervical region - ICD-10-CM Diagnosis Codes.
M47. 812 - Spondylosis without myelopathy or radiculopathy, cervical region | ICD-10-CM.
ICD-10 Code for Other spondylosis with radiculopathy, cervical region- M47. 22- Codify by AAPC.