Sacroiliitis, not elsewhere classified
ICD-10 M46.1 is a billable code used to indicate a diagnosis of sacroiliitis, not elsewhere classified.
Sacroiliitis refers to inflammation of one or both sacroiliac joints, which connect the lower spine to the pelvis. This condition can result from various underlying causes, including autoimmune diseases, infections, or trauma. It is often characterized by pain in the lower back and buttocks, which may radiate down the legs. Patients may experience stiffness, particularly in the morning or after prolonged periods of inactivity. The diagnosis of sacroiliitis is typically made through clinical evaluation, imaging studies such as X-rays or MRI, and sometimes laboratory tests to identify underlying inflammatory conditions. It is crucial to differentiate sacroiliitis from other inflammatory spine conditions, such as ankylosing spondylitis, which is a specific type of spondyloarthritis that primarily affects the spine and sacroiliac joints. Treatment often includes anti-inflammatory medications, physical therapy, and in some cases, corticosteroid injections. Understanding the nuances of sacroiliitis is essential for accurate coding and effective patient management.
Detailed patient history, physical examination findings, imaging results, and laboratory tests.
Patients presenting with chronic lower back pain, stiffness, and a family history of autoimmune diseases.
Ensure that the documentation clearly distinguishes sacroiliitis from other spondyloarthropathies.
Surgical notes, imaging studies, and pre-operative assessments.
Patients with acute exacerbations of back pain requiring surgical intervention.
Document any surgical procedures performed on the sacroiliac joint.
Used for patients with sacroiliitis requiring corticosteroid injection.
Document the indication for the procedure, including imaging findings.
Rheumatologists may perform this procedure for therapeutic purposes.
Common causes include autoimmune diseases like ankylosing spondylitis, infections, trauma, and degenerative conditions. It is essential to identify the underlying cause for appropriate treatment.
