Clinical History: Herniated cervical disc C5-6 with myelopathy
Source of Specimen: Cervical disc tissue C5-6
Pathology Report: The specimen consists of multiple irregular fragments of fibrocartilage, aggregating 2.5 X 1.5 X 1.2cm. It is blue stained. There is no gross evidence of malignancy.
Diagnosis: Degenerating Fibrocartilage consistent with disc C5-6
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for the pathology report of cervical disc tissue is 88304, which is used for non-neoplastic specimens of muscle or soft tissue. The diagnosis of herniated cervical disc C5-6 with myelopathy corresponds to the ICD-10-CM code M50.022, which specifies cervical disc disorder with myelopathy at the C5-C6 level.

Clinical History: Herniated Cervical Disc C5-6 with Myelopathy