Wiki Spondylosis with/without myelopathy

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jlc2013

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Pt. present with L4-L5 DISKITIS AND OSTEOMYELITIS,
WITH SPONDYLOLITHESIS AND SPONDYLOSIS. My question is: do osteomyelitis found in L4-L5 considered as myelopathy? would you code Spondylosis with myelopathy because of osteomyelitis or code Spondylosis without myelopathy?
 
Does the record note the following?
http://www.spine-health.com/conditions/spinal-stenosis/cervical-stenosis-myelopathy

"Myelopathy affects the nerve tracts that run inside the spinal cord (long tracts) and deficits in these long tracts can be picked up on physical exam.

For example:

Muscular tone in the legs will be increased
Deep tendon reflexes in the knee and ankle will be accentuated (hyperreflexia)
Forced extension of the ankle may cause the foot to beat up and down rapidly (clonus)
Scratching the sole of the foot may cause the big toe to go up (Babinski reflex) instead of down (normal reflex)
Flicking the middle finger may cause the thumb and index finger to flex (Hoffman’s reflex)
Compromised coordination may be evidenced by difficulty walking and placing one foot in front of the other (tandem walking)."
 
the link that you given above is for cervical, would it be the same with lumbar section? Anyway if there is no neurologic sign and symptoms, I shouln't use the code "with myelopathy"?
 
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