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ICD-10 M47.812 Code - Cervical Spondylosis Guide

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Key Takeaways

ICD-10 M47 812 is the ICD-10 diagnosis code for other spondylosis with myelopathy, cervical region.
Covers conditions such as cervical spondylosis and cervical facet arthropathy.

What Is ICD-10 Code M47.812?

ICD-10 M47.812 identifies other spondylitis with myelopathy, cervical region.

Spondylitis refers to degenerative changes in the spine, especially in the cervical (neck) area.

Myelopathy indicates involvement of the spinal cord, which may lead to neurological issues like muscle weakness, sensory loss, or difficulty with coordination and balance.

When to Use This Code:

The patient makes a diagnosis of cervical spondylitis, established by imaging.
Clinical signs of spinal cord involvement.
Documentation explicitly states “with myelopathy.”

Who Can Bill ICD-10 M47.812?

Physicians: Orthopedic surgeons, neurosurgeons, neurologists, rheumatologists.
Non-physician practitioners: Nurse practitioners (NPs), physician assistants (PAs).
Hospital billing departments for inpatient/outpatient claims.
Chiropractors (where legally allowed), when diagnosing cervical spondylosis.

Services Covered Under ICD 10 M47.812

Using ICD-10 M47 812, ICD-10 is appropriate when billing for:

Office visits and evaluations related to neck pain and neurological symptoms.
Imaging instructions (MRI, CT, X-ray) to confirm diagnosis.
Physical therapy, pain management injections, or surgical interventions.
Specialist consultations for cervical facet arthropathy or spinal degeneration.

Billable CPT Codes for ICD-10 M47 812

For patients diagnosed with ICD-10 M47 812, other spondylosis with myelopathy, cervical region, several CPT codes may be applicable depending on the treatment provided. The correct CPT code selection should always reflect the exact service performed and be supported by documentation.

Potentially relevant CPT codes include:

CPT 20552 – Injection(s) for one or two muscle trigger points, addressing localized muscle pain and tension.
CPT 20610 – Aspiration and/or injection of a major joint or bursa (e.g., shoulder, hip, knee), which may be part of pain management.
CPT 22551 – Cervical arthrodesis using an anterior interbody technique, including minimal discectomy for interspace preparation, performed below C2.
CPT 22845 – Placement of anterior instrumentation spanning two to three vertebral segments.

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5. CPT 63075 – Anterior cervical discectomy at a single interspace to relieve spinal cord or nerve root compression.

6. CPT 99213 – Office or outpatient evaluation and management visit for an established patient, typically lasting 15 minutes.

Coding Tip:
Always match the CPT code to the actual procedure performed and ensure that the diagnosis of ICD-10-M47-812 is documented in the patient’s record. This helps support medical necessity and ensures proper reimbursement.

Modifier Use with ICD-10 M47 812

ICD-10 codes generally don’t take modifiers, but:

CPT or HCPCS codes billed alongside ICD-10 M47 812 may require modifiers like -25 (significant, separately identifiable E/M service) or -59 (distinct procedural service).
Always align modifiers with payer policy to avoid denials.

Common Billing Mistakes to Avoid

Improper laterality or region: Coding for lumbar or thoracic spondylosis instead of cervical.
Missing myelopathy documentation: ICD-10 M47 812 can’t be supported if symptoms are present but not charted.
Using unspecified codes (like M47.819) when documentation supports the more specific ICD-10 M47.812 diagnosis code.
Forgetting to link ICD-10 M47 812 ICD-10 with medical necessity in the claim.

Reimbursement Rates for ICD-10 M47.812

Payment varies based on the associated CPT procedures and payer contracts.

Medicare and most commercial insurance providers offer reimbursement for services linked to ICD-10 M47.812, provided the medical necessity is documented.

Bundled services (imaging + evaluation) may impact final payment.

Difference between ICD-10 M47 812 and Related Codes

Code	Description
ICD-10 M47 812	Other spondylosis with myelopathy, cervical region
ICD-10 M47 812 without myelopathy	N/A, must select a different code like ICD-10 M47 812’s lumbar/thoracic equivalents
ICD-10 M47 812 vs M47.819	M47.819 = unspecified region, less specific, often lower coding accuracy

Tip: Always use the most specific ICD-10 code possible to ensure accurate billing and compliance.

Are You Actuality Underpaid for Meets with ICD-10 M47 812?

If your practice regularly treats patients with ICD-10 Code ICD-10 M47 812 (Other spondylosis with myelopathy, cervical region), you may be missing out on rightful reimbursements without even realizing it.
Even when your medical coding is accurate and documentation is complete, payer underpayments can happen, and over time, those small amounts add up to significant revenue loss.

CuresMB revenue cycle optimization tools are designed to protect your payment.
Our team reviews your claims and cross-checks them against payer agreements. Identifies discrepancies in payments for CPT codes tied to ICD-10 M47 812. This means you can recover lost revenue and prevent future shortfalls.

With CuresMB, you can:

Detect and resolve underpaid claims automatically
Compare payments with contracted rates for each CPT code
Gain insights to improve your billing and coding compliance
Strengthen your practice’s financial health without extra manual work

Schedule a consultation with CuresMB today and discover how we can help ensure you receive the full reimbursement you deserve for every encounter.

Final Thoughts

ICD-10 M47.812 is more than just a billing number; it’s a precise classification that impacts diagnosis clarity, reimbursement, and patient care.

Correct usage protects your practice from denials and audits.
Make sure that detailed documentation supports “cervical spondylosis with myelopathy.
Keep payer-specific guidelines in mind when combining this diagnosis code with procedural codes.

Frequently Asked Questions (FAQs)

What does ICD-10 M47.812 stand for?

ICD-10 code M47.812 refers to other spondylosis with myelopathy in the cervical region, describing degenerative changes in the neck that involve the spinal cord.

Is ICD-10 M47.812 the same equally cervical spondylosis?

Not exactly, cervical spondylosis is the condition, while ICD-10 M47 812 is the specific code used when myelopathy is present.

When should I not use ICD-10 M47.812?

If there is no myelopathy documented or the degeneration is in another spinal region (lumbar, thoracic), you should select the appropriate ICD-10 code instead.

Can chiropractors bill for ICD-10 M47.812?

Yes, if they are legally allowed to diagnose and bill for cervical spine conditions. Always check state and payer guidelines.

Does ICD-10 M47.812 require a modifier?

ICD-10 codes do not take modifiers directly, but CPT/HCPCS codes billed with ICD-10 M47 812 may need modifiers like -25 or -59 depending on services provided.

What documentation supports ICD-10 M47.812?

Imaging reports (MRI, CT, X-ray), neurological findings, and provider notes stating cervical spondylosis with myelopathy are required to support this diagnosis.

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