Adult osteochondrosis of spine, lumbar region
ICD-10 M42.16 is a billable code used to indicate a diagnosis of adult osteochondrosis of spine, lumbar region.
Adult osteochondrosis of the lumbar spine is a degenerative condition characterized by the deterioration of the intervertebral discs and vertebral bodies in the lower back. This condition often results from age-related changes, repetitive stress, or trauma, leading to pain, stiffness, and potential deformities such as scoliosis or kyphosis. Patients may experience varying degrees of discomfort, which can affect mobility and quality of life. The lumbar region is particularly susceptible due to its weight-bearing function and range of motion. Diagnosis typically involves clinical evaluation, imaging studies such as X-rays or MRI, and assessment of symptoms. Treatment options may include conservative management like physical therapy, pain management, and in some cases, surgical interventions such as spinal fusion to stabilize the affected vertebrae and alleviate pain. Understanding the complexities of this condition is crucial for accurate coding and effective treatment planning.
Detailed surgical notes, imaging results, and pre-operative assessments.
Patients presenting with chronic lower back pain, requiring surgical intervention.
Ensure documentation reflects the specific surgical procedure performed and any complications.
Comprehensive evaluations, treatment plans, and progress notes.
Patients undergoing rehabilitation for pain management and functional improvement.
Document functional limitations and response to therapy to support coding.
Used for patients with severe lumbar osteochondrosis requiring stabilization.
Operative report detailing the procedure, indications, and post-operative care.
Orthopedic surgeons must document the rationale for surgical intervention.
Common symptoms include lower back pain, stiffness, and potential radiating pain to the legs. Patients may also experience reduced mobility and discomfort during physical activities.
