Spinal enthesopathy, site unspecified
ICD-10 M46.00 is a billable code used to indicate a diagnosis of spinal enthesopathy, site unspecified.
Spinal enthesopathy refers to a condition characterized by inflammation at the sites where tendons or ligaments attach to bone, particularly in the spine. This condition can manifest as pain and stiffness in the back, often exacerbated by movement. It is commonly associated with various inflammatory spine conditions, including ankylosing spondylitis, which is a type of spondyloarthritis that primarily affects the spine and can lead to fusion of the vertebrae. Spinal enthesopathy may also be linked to spinal stenosis, a narrowing of the spinal canal that can compress nerves and lead to pain, numbness, or weakness. The unspecified site designation indicates that the specific location of the enthesopathy has not been determined, which can complicate diagnosis and treatment. Clinicians must consider the patient's history, physical examination findings, and imaging studies to accurately assess the condition. The management of spinal enthesopathy often involves a multidisciplinary approach, including physical therapy, medication for inflammation, and in some cases, surgical intervention.
Detailed patient history, physical examination findings, and imaging results.
Patients presenting with chronic back pain, stiffness, and a family history of autoimmune diseases.
Consideration of comorbid conditions and the need for a multidisciplinary approach.
Surgical notes, imaging studies, and pre-operative assessments.
Patients with severe spinal pain requiring surgical intervention.
Documentation of the specific surgical procedure and its relation to the enthesopathy.
Used when a patient with spinal enthesopathy requires injection for pain relief.
Document the indication for the procedure and the specific site of injection.
Rheumatologists may perform this procedure for therapeutic purposes.
Spinal enthesopathy is an inflammatory condition affecting the sites where tendons and ligaments attach to the spine, leading to pain and stiffness.
Use M46.00 when the specific site of spinal enthesopathy is not documented, but there is evidence of inflammation at the entheses.
