ICD-10-CM · Shoulder

M99.77

M99.77 identifies narrowing of the intervertebral foramina of the upper extremity region caused by connective tissue changes or disc pathology — classified as a biomechanical lesion not elsewhere classified.

Verified May 8, 2026 · 4 sources ↓

Status
Billable
Chapter
13
Related CPT
10
Region
Shoulder
Drawn from CDCICD10DataCMS

Documentation tips

What should appear in the chart to support M99.77.

Source · Editorial brief grounded in 4 cited references ↓

  • Specify whether the foraminal narrowing is disc-mediated, connective tissue-mediated, or both — M99.77 requires one of those etiologies; pure bony stenosis belongs under M99.67.
  • Record the affected cervical or upper thoracic level (e.g., C5-C6, C6-C7) and the corresponding symptomatic upper extremity dermatome or myotome.
  • Note imaging findings that confirm foraminal narrowing — MRI signal changes, disc protrusion into foramen, or ligamentous hypertrophy — to support medical necessity at payer audit.
  • Document upper extremity symptom laterality (right arm, left arm, bilateral) even though M99.77 does not carry a laterality character itself; this supports any co-assigned radiculopathy or neurological deficit codes.
  • If conservative care has been rendered, record the treatment history (manipulation, physical therapy, injections) to substantiate ongoing or escalating management decisions.

Related CPT procedures

Procedure codes commonly billed with M99.77. Linking the right diagnosis to the right procedure is what establishes medical necessity.

Source · CMS LCDs · AAOS specialty guidance · claims-pattern analysis

Common coding pitfalls

The recurring mistakes coders make with M99.77 and adjacent codes.

Source · Editorial brief grounded in CDC ICD-10-CM tabular guidance, AAOS coding references, and cited references ↓

  • Confusing M99.77 with M99.67 (osseous stenosis of intervertebral foramina, upper extremity) — use M99.77 only when the stenosis source is disc or connective tissue, not bone.
  • Assigning M99.77 without co-documenting the symptomatic condition — payers may deny a standalone biomechanical lesion code if no radiculopathy, myelopathy, or upper extremity deficit code accompanies it.
  • Using M99.77 when a more specific cervical disc code (M50.0–M50.3x) fully captures the documented diagnosis — M99 codes are 'not elsewhere classified' and should yield to more specific categories when applicable.
  • Omitting laterality-specific neurological deficit codes (e.g., cervical radiculopathy M54.12/M54.13) that would strengthen the claim and clarify which extremity is affected, since M99.77 itself has no laterality character.

Clinical context

Source · Editorial summary grounded in 4 cited references ↓

M99.77 sits within the M99.7x subcategory (connective tissue and disc stenosis of intervertebral foramina) and specifically targets the upper extremity region. Use it when clinical or imaging evidence supports foraminal narrowing attributable to connective tissue thickening or disc encroachment at the cervical or upper thoracic segments that manifests with upper extremity symptoms — radicular pain, paresthesia, or neurogenic weakness in the arm, forearm, or hand.

This code is commonly assigned in chiropractic, osteopathic manipulative medicine, physical medicine and rehabilitation, and spine surgery settings. It pairs appropriately with cervical radiculopathy coding sequences when the foraminal stenosis is the documented structural cause. If the stenosis is purely osseous (bony foraminal narrowing), consider M99.67 (osseous stenosis of intervertebral foramina, upper extremity) instead — the M99.77 axis specifically requires connective tissue or disc etiology.

Because M99.77 lives in Chapter 13 under biomechanical lesions, it does not carry 7th-character injury extensions. Document the structural finding, the causative tissue type (disc vs. connective tissue), and the symptomatic upper extremity distribution to distinguish this from unspecified cervical disc or stenosis codes in the M50 category.

Sibling codes

Other billable codes under M99.7 (laterality / anatomic variants).

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 4 cited references ↓

01What is the difference between M99.77 and M99.67?
M99.67 is osseous (bony) stenosis of intervertebral foramina of the upper extremity; M99.77 is the same anatomical location but caused by connective tissue or disc pathology. The etiologic tissue type drives the selection — document which one the imaging or clinical findings support.
02Does M99.77 require a 7th-character extension?
No. M99.77 is an M-code under Chapter 13 and does not use 7th-character extensions. Those extensions (A, D, S) apply to injury codes in the S- and T-chapter ranges.
03Can M99.77 be used as a primary diagnosis on a chiropractic claim?
It can appear on chiropractic claims, but payers — especially Medicare — typically require a subluxation code (M99.0x series) as primary. Check your payer's LCD or coverage policy before leading with M99.77; it more commonly serves as a secondary or supporting diagnosis.
04Should M99.77 be coded alongside a cervical radiculopathy code?
Yes, when both are documented. M99.77 identifies the structural cause; a radiculopathy code such as M54.12 or M54.13 captures the clinical syndrome. Together they tell the complete diagnostic story and support medical necessity for imaging, manipulation, or surgical referral.
05Is M99.77 appropriate when MRI shows a disc herniation at C6-C7 compressing the foramen?
Potentially, but a herniated cervical disc with radiculopathy often codes more specifically as M50.12x (cervical disc degeneration) or M50.11x (cervical disc displacement with radiculopathy). M99.77 applies when the provider frames the diagnosis as a biomechanical foraminal stenosis of connective tissue or disc origin and no more specific code fully captures it.
06Does M99.77 have laterality built into the code?
No. The '7' sixth character in M99.77 designates the upper extremity region, not laterality. To communicate side-specific involvement, assign co-codes for the symptomatic neurological deficit (e.g., right vs. left radiculopathy) and document laterality in the clinical note.

Mira AI Scribe

Mira's AI scribe captures the foraminal narrowing etiology (disc vs. connective tissue), the affected spinal level, and the patient's upper extremity symptom pattern — radicular pain distribution, dermatomal paresthesia, grip weakness — directly from the encounter note. That specificity prevents claim downcoding to an unspecified biomechanical lesion and blocks payer queries about whether osseous stenosis (M99.67) was the correct code instead.

See how Mira captures M99.77 documentation

Related ICD-10 codes

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