Other spondylosis with myelopathy, thoracic region

This code signifies a degenerative condition of the spine in the thoracic region that has progressed to involve the spinal cord. It indicates the presence of spondylosis (e.g., osteophytes, disc degeneration) causing compression or dysfunction of the thoracic spinal cord, leading to neurological symptoms.

Apply this code when documentation clearly states thoracic spondylosis with associated myelopathy, such as spinal cord compression, weakness, sensory deficits, or gait disturbance attributable to the thoracic spine. Supporting documentation includes MRI or CT findings confirming spinal cord involvement and neurological examination findings.

• Differentiate from radiculopathy (M47.24) where nerve roots, not the spinal cord, are compressed.
• Ensure documentation explicitly links the spondylosis to the myelopathy; "spondylosis with neurological symptoms" is insufficient.
• Sequence this code as a primary diagnosis when the myelopathy is the primary reason for the encounter, or as a secondary diagnosis if it's a co-morbidity impacting treatment.