Spondyls w/o myelpath or radiculopathy, sacr/sacrocygl rgn

This code signifies degenerative changes in the sacral and sacrococcygeal spine, characterized by bony overgrowth (osteophytes) and disc degeneration, without evidence of spinal cord compression (myelopathy) or nerve root impingement (radiculopathy). It represents a non-compressive form of spinal osteoarthritis affecting the lowest segments of the vertebral column.

Use this code when documentation indicates spondylosis specifically located in the sacral or sacrococcygeal region, and the physician explicitly states or implies the absence of myelopathy or radiculopathy. This diagnosis is often supported by imaging studies (e.g., X-ray, MRI) showing degenerative changes in the specified spinal segments, alongside clinical findings of localized pain or stiffness without neurological deficits.

• Ensure documentation clearly specifies the sacral and/or sacrococcygeal region; avoid using for other spinal segments.
• Confirm the absence of myelopathy or radiculopathy; if either is present, a more specific code from the M47.1 or M47.2 series would be appropriate.
• Consider sequencing this code after any acute conditions or primary pain diagnoses if the spondylosis is an underlying or contributing factor.