Intvrt disc disorders w myelopathy, thoracolumbar region

This code signifies a condition where a disc disorder in the thoracic or lumbar spine is causing compression of the spinal cord, leading to neurological deficits. Myelopathy indicates dysfunction of the spinal cord itself, distinct from nerve root compression (radiculopathy).

Use this code when documentation clearly states a diagnosis of intervertebral disc disorder (e.g., herniation, degeneration) in the thoracolumbar region accompanied by signs and symptoms of myelopathy, such as gait disturbance, spasticity, or upper motor neuron signs. Imaging studies confirming spinal cord compression are often present.

• Ensure documentation explicitly states "myelopathy" and specifies the thoracolumbar region.
• Do not confuse myelopathy with radiculopathy; if only nerve root compression is present, a different code is required.
• Sequence this code as the primary diagnosis when the disc disorder with myelopathy is the reason for the encounter.