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2025 ICD-10-CM code M47.0

Anterior spinal and vertebral artery compression syndromes.This condition involves compression of the anterior spinal and vertebral arteries, leading to disrupted blood flow to the brain and spinal cord.

If applicable, use an external cause code following the code for the musculoskeletal condition to identify the cause.Conditions such as arthropathic psoriasis, certain perinatal conditions, certain infectious and parasitic diseases, traumatic compartment syndrome, complications of pregnancy, childbirth and the puerperium, congenital malformations, deformations, and chromosomal abnormalities, endocrine, nutritional and metabolic diseases, injuries, poisonings and other consequences of external causes, neoplasms, and symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified are excluded.

Medical necessity is established by the presence of signs and symptoms of anterior spinal and vertebral artery compression, confirmed by imaging studies. The documentation should support the need for treatment and its impact on the patient's functional abilities.

Providers diagnose this condition based on patient history, physical examination, blood tests, and imaging studies like MRI, Doppler ultrasound, CT scans, and angiography. Treatment can include physical therapy, immobilization, regulating body temperature and breathing, or surgery.

In simple words: This condition involves compressed arteries in the neck, which reduces blood flow to the brain and spinal cord.This can happen suddenly due to an injury or gradually due to arthritis. Symptoms can include numbness, tingling, weakness, dizziness, and problems with balance.

Compression syndromes of the anterior spinal and vertebral artery involve an interruption in blood flow (ischemia) to the brain and spinal cord. This is often due to severe flexion injury of the neck, potentially leading to tissue death (infarction). The syndrome can also involve degenerative changes in the spine and facet joints, such as arthrosis or osteoarthritis.

Example 1: A patient presents with neck pain, numbness, and tingling in their arms after a car accident involving whiplash. Imaging reveals compression of the anterior spinal artery., An older adult with osteoarthritis of the cervical spine experiences dizziness and loss of balance.Further examination shows vertebral artery compression due to degenerative changes., A patient reports sudden onset of weakness and loss of sensation in their legs after a fall. Diagnostic testing indicates compression of both the anterior spinal and vertebral arteries.

Documentation should include details of the injury or underlying condition, neurological examination findings, results of imaging studies (MRI, CT, Doppler, angiography), and treatment plan.

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