Other spondylosis with myelopathy, cervicothoracic region

This code signifies a degenerative condition of the spine in the neck and upper back (cervicothoracic region) that is causing compression of the spinal cord. This compression, known as myelopathy, can lead to neurological symptoms such as weakness, numbness, and gait disturbances.

Use this code when documentation clearly indicates spondylosis (degenerative changes like osteophytes or disc space narrowing) in the cervicothoracic spine, accompanied by signs and symptoms of spinal cord compression. Supporting documentation would include neurological exam findings, imaging reports (MRI, CT) showing spinal cord impingement, and a physician's diagnosis of spondylotic myelopathy.

• Ensure the documentation explicitly states "myelopathy" and specifies the cervicothoracic region.
• Distinguish from spondylosis without myelopathy (M47.8- series) or with radiculopathy (M47.2- series).
• Code any associated neurological deficits (e.g., gait abnormalities, muscle weakness) as secondary diagnoses.