Spondylolisthesis, occipito-atlanto-axial region
ICD-10 M43.11 is a billable code used to indicate a diagnosis of spondylolisthesis, occipito-atlanto-axial region.
Spondylolisthesis is a condition characterized by the displacement of one vertebra over another, specifically in the occipito-atlanto-axial region, which includes the base of the skull and the first two cervical vertebrae (C1 and C2). This condition can lead to instability in the cervical spine, resulting in pain, neurological deficits, and impaired function. The occipito-atlanto-axial region is critical for head and neck movement, and any displacement can significantly affect a patient's quality of life. Spondylolisthesis may arise from congenital defects, degenerative changes, trauma, or pathological conditions. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the degree of slippage and any associated spinal deformities. Treatment options vary from conservative management, including physical therapy and pain management, to surgical interventions such as spinal fusion, which aims to stabilize the affected vertebrae and restore normal alignment. Understanding the complexities of this condition is essential for accurate coding and appropriate management.
Detailed operative reports, imaging studies, and pre-operative assessments are essential for accurate coding.
Patients presenting with neck pain, neurological symptoms, or instability requiring surgical intervention.
Documentation must clearly indicate the level of spondylolisthesis and any associated procedures performed.
Comprehensive neurological evaluations and imaging results to support diagnosis and treatment decisions.
Patients with neurological deficits due to spinal instability or compression.
Neurological assessments must be documented to justify the diagnosis and any interventions.
Used in surgical treatment of spondylolisthesis to stabilize the spine.
Operative reports must detail the procedure and rationale for fusion.
Orthopedic surgeons must document the specific vertebrae involved and the extent of the procedure.
Imaging studies such as X-rays, CT scans, or MRIs are essential to demonstrate the degree of vertebral displacement and any associated spinal deformities.
