Spondylolysis, lumbosacral region
ICD-10 M43.07 is a billable code used to indicate a diagnosis of spondylolysis, lumbosacral region.
Spondylolysis is a defect or fracture in the pars interarticularis of the vertebra, commonly occurring in the lumbosacral region. This condition can lead to instability of the spine and is often associated with low back pain, particularly in adolescents and young adults who participate in sports that involve repetitive hyperextension of the spine. The lumbosacral region is particularly vulnerable due to the biomechanical stresses placed on it. Symptoms may include localized pain, muscle spasms, and in some cases, radicular pain if nerve roots are affected. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to visualize the defect. Treatment options may vary from conservative management, including physical therapy and pain management, to surgical interventions such as spinal fusion if conservative measures fail. Understanding the implications of spondylolysis is crucial for effective management and coding, as it can significantly impact a patient's quality of life and functional abilities.
Detailed surgical notes, imaging studies, and pre-operative assessments.
Patients presenting with chronic low back pain and imaging-confirmed spondylolysis.
Documentation must clearly outline the surgical approach and rationale for fusion if performed.
Comprehensive evaluations, treatment plans, and progress notes.
Patients undergoing rehabilitation post-surgery or those receiving conservative management.
Focus on functional outcomes and the impact of spondylolysis on daily activities.
Used when surgical intervention is required for spondylolysis.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the rationale for surgical intervention.
Spondylolysis is primarily caused by repetitive stress and microtrauma to the pars interarticularis, often seen in athletes involved in sports requiring hyperextension of the spine.
