Other specified inflammatory spondylopathies, lumbosacral region
ICD-10 M46.87 is a billable code used to indicate a diagnosis of other specified inflammatory spondylopathies, lumbosacral region.
M46.87 refers to inflammatory spondylopathies that do not fall under more specific categories, particularly affecting the lumbosacral region. This condition encompasses a variety of inflammatory diseases that primarily affect the spine, leading to pain, stiffness, and potential structural changes. Commonly associated with conditions like ankylosing spondylitis, these inflammatory spondylopathies can result in significant morbidity due to chronic pain and functional impairment. The lumbosacral region is particularly vulnerable due to its role in weight-bearing and mobility. Patients may present with symptoms such as lower back pain, reduced range of motion, and sometimes neurological symptoms if there is associated spinal stenosis. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other conditions. Treatment often includes anti-inflammatory medications, physical therapy, and in some cases, surgical intervention for severe cases. Accurate coding is essential for appropriate management and reimbursement.
Detailed patient history, physical examination findings, imaging results, and laboratory tests.
Patients presenting with chronic lower back pain, stiffness, and a family history of inflammatory spine diseases.
Ensure that all inflammatory markers and imaging studies are documented to support the diagnosis.
Surgical notes, pre-operative assessments, and post-operative follow-ups.
Patients requiring surgical intervention for severe spinal stenosis or deformity due to inflammatory spondylopathy.
Document the extent of spinal involvement and any neurological deficits to justify surgical procedures.
Used to evaluate inflammatory changes in the lumbosacral region.
Indication for MRI must be clearly documented, including symptoms and prior treatments.
Rheumatologists may order this to assess disease progression.
M46.87 is used for other specified inflammatory spondylopathies affecting the lumbosacral region, while M45 specifically refers to ankylosing spondylitis. Accurate coding depends on the specific diagnosis documented.
