Other spondylosis with myelopathy, lumbar region

This code signifies a degenerative condition of the lumbar spine characterized by the formation of osteophytes and disc degeneration, leading to compression of the spinal cord (myelopathy). Patients typically present with neurological deficits such as weakness, numbness, or gait disturbance in the lower extremities, reflecting spinal cord involvement.

Apply this code when documentation clearly indicates lumbar spondylosis with objective evidence of spinal cord compression. This includes findings from imaging (MRI, CT) showing cord impingement and neurological examination findings consistent with myelopathy originating from the lumbar region.

• Ensure documentation explicitly states "myelopathy" and specifies the "lumbar region."
• Do not confuse with radiculopathy (nerve root compression), which is coded differently.
• Always sequence this code as a primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis if it's a co-morbidity impacting treatment.