ICD-10 M47.12
Billable / Specific CCOther spondylosis with myelopathy, cervical region
About ICD-10-CM M47.12
ICD-10-CM code M47.12 represents Other spondylosis with myelopathy, cervical region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M47). The 2026 edition of ICD-10-CM M47.12 became effective on October 1, 2025.
Coding Tips for M47.12
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
M47.12 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Other spondylosis with myelopathy, cervical region. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for M47.12
Local Coverage Determinations (LCDs) from CMS MACs that list M47.12 as a covered diagnosis.
Showing top 10 of 570 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M47.12.
3 Cigna
5 Medicare
CPT Codes Commonly Billed with M47.12
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 22600 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
- 22548 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
- 22590 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
- 22551 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
- 22595 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
- 22554 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
- 22552 CMS LCD: Billing and Coding: Cervical Fusion CMS LCD
Convert M47.12 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M47.12 | 7211 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M47.12
Other codes in section M45-M49 (Spondylopathies).
ICD-10 M47.12, Billing FAQ
Is ICD-10 code M47.12 billable? +
Yes, M47.12 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is M47.12 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with M47.12? +
Procedures frequently paired with M47.12 include: 22600, 22548, 22590, 22551, 22595.
What ICD-9 codes does M47.12 map to? +
Per CMS GEMs, M47.12 maps to ICD-9 codes: 7211. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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