Cervical disc disorder w myelopathy, cervicothoracic region

This code signifies a degenerative condition affecting the intervertebral discs in the cervicothoracic region of the spine, specifically C7-T1, that is causing compression of the spinal cord. This compression, known as myelopathy, can lead to neurological deficits such as weakness, numbness, gait disturbance, and spasticity in the extremities. It represents a serious progression of disc disease.

Apply this code when documentation clearly indicates cervical disc disorder with evidence of spinal cord compression and associated neurological symptoms localized to the cervicothoracic junction. This typically requires imaging studies (e.g., MRI) confirming disc pathology and clinical findings consistent with myelopathy. Use when the physician explicitly states "cervicothoracic region" or specifies C7-T1 involvement.

• Ensure documentation explicitly links the myelopathy to the cervical disc disorder and specifies the cervicothoracic region.
• Do not use for radiculopathy alone; myelopathy implies spinal cord involvement, not just nerve root compression.
• Sequence this code first if it is the primary reason for the encounter or treatment.