ICD 10 CM M50.122 | Description & Clinical Information

ICD 10 M50.122 describes a medical condition that affects the round, flat, fibrous tissue layer located between the fifth and sixth cervical vertebrae, which serves as a flexible cushion and aids in load bearing and shock absorption, and can result in cervical disc displacement, degeneration, or other disc disorders that can lead to myelopathy, a general term for any disease or disorder of the spinal cord, often caused by trauma or disease, however, the specific type of mid-cervical disc disorder is not identified by the provider.

Official Description Of M50.122

The ICD 10 CM book defines ICD 10 code M50.122 as:

Cervical disc disorder at C5-C6 level with radiculopathy
C5-C6 disc disorder with radiculopathy
C6 radiculopathy due to disc disorde
Parent Code Notes: M50.1

Excludes2: brachial radiculitis NOS (M54.13)

Parent Code Notes: M50

Includes: cervicothoracic disc disorders with cervicalgia
cervicothoracic disc disorders

Clinical Information

The diagnosis describes by the ICD 10 CM M50.122 code refers to a cervical disc disorder that affects the C56 level of the spine. This condition can result in a range of symptoms, such as restricted movement, nerve compression, and pain radiating into the extremities. It can also cause burning, tingling, numbness, and weakness, particularly in the hands and arms, as well as affecting bowel and bladder function. The condition is diagnosed by healthcare providers through a variety of means, including history and physical examination, imaging scans, and electromyography and nerve conduction studies.

When assessing the condition, healthcare providers begin with a history and physical examination to determine the extent of the disorder. Imaging scans, such as Xrays with flexion and extension views of the neck, CT and MRI scans, and myelography for spinal cord involvement, may be ordered to assess the cervical disc and identify any areas of compression or damage. Electromyography and nerve conduction studies are also performed to assess radiculopathy and nerve damage, particularly if symptoms like weakness or numbness are present. Additionally, somatosensory evoked potentials may be used to evaluate myelopathy and other studies to assess urinary incontinence if present.

Once a diagnosis has been made, treatment options are varied and depend on the nature and cause of the disorder. Initially, healthcare providers may recommend rest and the use of a soft cervical collar or orthosis to support the neck muscles and stabilize the neck. Physical therapy may also be prescribed to strengthen the muscles and improve flexibility.

Medications such as analgesics, muscle relaxants, and nonsteroidal anti-inflammatory drugs may be prescribed to provide relief from pain. Corticosteroid injections or epidural or nerve blocks may be used to treat pain that is not relieved through other medications. In some cases, surgery may be required when conservative treatments fail.

It is important that healthcare providers communicate openly and clearly with patients about the nature of their diagnosis, the recommended treatment options, potential risks and complications, and recovery expectations. By working together, patients and healthcare providers can make informed decisions about the best course of treatment for cervical disc disorders at the C56 level.

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