Fusion of spine, thoracolumbar region
ICD-10 M43.25 is a billable code used to indicate a diagnosis of fusion of spine, thoracolumbar region.
Fusion of the thoracolumbar spine is a surgical procedure aimed at stabilizing the spine by fusing two or more vertebrae together. This procedure is often indicated for patients with spinal deformities such as scoliosis, kyphosis, or lordosis, where abnormal curvature of the spine can lead to pain, neurological deficits, or functional impairment. The thoracolumbar region, which encompasses the lower thoracic and upper lumbar vertebrae, is particularly susceptible to these deformities due to its biomechanical load-bearing role. Surgical fusion may involve the use of bone grafts, metal rods, and screws to achieve stability and alignment. Post-operative care is crucial for recovery, and patients may require physical therapy to regain strength and mobility. Accurate coding for this procedure is essential for proper reimbursement and to reflect the complexity of the patient's condition and treatment.
Detailed operative reports, pre-operative imaging studies, and post-operative follow-up notes.
Patients with progressive scoliosis requiring stabilization, trauma cases with vertebral fractures.
Ensure that the surgical approach and levels of fusion are clearly documented to support the coding.
Comprehensive neurological assessments, imaging results, and surgical notes detailing decompression if performed.
Patients with spinal stenosis or neurological deficits requiring fusion.
Document any neurological evaluations pre- and post-surgery to justify the procedure.
Used in conjunction with M43.25 for patients undergoing lumbar fusion as part of thoracolumbar stabilization.
Operative report detailing the procedure, levels involved, and any complications.
Orthopedic surgeons must ensure that the fusion levels are clearly documented to support the CPT code.
M43.25 is primarily used for patients undergoing spinal fusion in the thoracolumbar region due to conditions such as scoliosis, kyphosis, or trauma that necessitates stabilization of the spine.
