Fusion of spine, lumbosacral region
ICD-10 M43.27 is a billable code used to indicate a diagnosis of fusion of spine, lumbosacral region.
Fusion of the lumbosacral spine is a surgical procedure aimed at stabilizing the vertebrae in the lower back, specifically the lumbar and sacral regions. 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, functional impairment, or neurological deficits. The fusion process involves the use of bone grafts and instrumentation (such as screws and rods) to promote bone healing and stability. The goal is to eliminate motion at the affected vertebral segments, thereby reducing pain and preventing further deformity progression. Patients may undergo this procedure due to degenerative disc disease, traumatic injuries, or congenital anomalies. Post-operative care is crucial for recovery, and rehabilitation often includes physical therapy to restore strength and mobility. Complications can include infection, non-union of the fusion, and adjacent segment disease, necessitating careful patient selection and thorough pre-operative assessment.
Detailed operative reports, pre-operative assessments, and post-operative follow-ups.
Patients with severe scoliosis requiring surgical intervention, degenerative disc disease leading to instability.
Ensure accurate representation of the surgical approach and any complications encountered during the procedure.
Comprehensive neurological evaluations, imaging studies, and surgical notes.
Patients with neurological deficits due to spinal deformities, trauma cases requiring urgent intervention.
Document neurological assessments pre- and post-surgery to support the necessity of the procedure.
Used in conjunction with M43.27 for patients undergoing surgical fusion.
Operative report detailing the procedure, including levels fused and any instrumentation used.
Orthopedic surgeons must document the rationale for the procedure and any pre-existing conditions.
Conditions such as severe scoliosis, kyphosis, degenerative disc disease, and trauma can necessitate spinal fusion in the lumbosacral region.
