Other spondylosis with radiculopathy, thoracolumbar region

This code signifies a degenerative condition of the spine in the thoracolumbar region, characterized by the formation of osteophytes and disc degeneration, which is causing nerve root compression. Patients typically experience pain, numbness, tingling, or weakness radiating into the lower extremities or trunk due to the radiculopathy. It represents a more advanced stage of spondylosis where neurological symptoms are present.

Apply this code when documentation clearly indicates spondylosis affecting the thoracic and/or lumbar spine, specifically noting the presence of radicular symptoms. This includes conditions like nerve root impingement, sciatica, or radicular pain directly attributed to the spondylotic changes in the thoracolumbar area. Supporting documentation must specify both the spondylosis and the radiculopathy.

• Ensure the documentation explicitly states "radiculopathy" or describes radicular symptoms (e.g., nerve root compression, sciatica) in the context of thoracolumbar spondylosis.
• Do not use this code if radiculopathy is not documented; instead, consider codes for spondylosis without radiculopathy (e.g., M47.85).
• Always review for laterality if specified, though M47.25 does not differentiate left/right. If the specific nerve root is identified, consider additional codes if applicable.