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M42.13

Billable

Adult osteochondrosis of spine, cervicothoracic region

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Adult spinal degeneration affecting the cervicothoracic region (the junction between the neck and upper back), causing breakdown of bone and cartilage.

Coding Tips

  • Ensure documentation specifies the cervicothoracic junction rather than purely cervical or thoracic
  • Document any symptoms radiating into the arms or upper back

Code Hierarchy

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