Kissing spine, cervical region

This code describes a condition where the spinous processes of two adjacent vertebrae in the cervical spine abnormally touch or "kiss." This contact can lead to localized pain, inflammation, and degenerative changes in the interspinous ligament and bone. It is a form of spinal impingement.

Use this code when documentation explicitly states "kissing spine" or "Baastrup's disease" affecting the cervical region. Supporting documentation typically includes imaging reports (X-ray, MRI, CT) confirming the close approximation or contact of spinous processes, often accompanied by clinical notes detailing cervical pain or radiculopathy.

• Ensure the documentation specifies the cervical region; other spinal regions have different codes.
• Do not confuse with other forms of cervical spondylosis or spinal stenosis unless kissing spine is specifically identified.
• Code any associated pain (e.g., M54.2, Cervicalgia) as a secondary diagnosis if documented.