Fusion of spine, sacral and sacrococcygeal region
ICD-10 M43.28 is a billable code used to indicate a diagnosis of fusion of spine, sacral and sacrococcygeal region.
M43.28 refers to the surgical procedure involving the fusion of the sacral and sacrococcygeal regions of the spine. This procedure is often indicated for patients with severe spinal deformities such as scoliosis, kyphosis, or lordosis, where the structural integrity of the spine is compromised. Fusion aims to stabilize the spine, alleviate pain, and prevent further deformity progression. The procedure typically involves the use of bone grafts and instrumentation to promote bone healing and fusion. Patients may present with varying degrees of spinal deformity, which can lead to neurological deficits, chronic pain, and impaired mobility. The decision to perform a spinal fusion is based on a comprehensive evaluation, including imaging studies and clinical assessments, to determine the extent of the deformity and the potential benefits of surgical intervention. Post-operative care is crucial for recovery, and patients may require physical therapy to regain strength and mobility.
Detailed operative reports, imaging studies, and pre-operative evaluations are essential.
Patients with progressive scoliosis or kyphosis requiring surgical intervention.
Documentation must clearly outline the rationale for fusion and any associated procedures.
Comprehensive neurological assessments and imaging results must be included.
Patients with neurological deficits due to spinal deformities.
Focus on documenting neurological evaluations and post-operative outcomes.
Used in conjunction with M43.28 for surgical intervention.
Operative report detailing the technique and approach used.
Orthopedic surgeons must document the specific levels fused.
M43.28 is typically used for patients with severe spinal deformities such as scoliosis, kyphosis, or lordosis that necessitate surgical intervention to stabilize the spine.
