Other specified inflammatory spondylopathies, sacral and sacrococcygeal region
ICD-10 M46.88 is a billable code used to indicate a diagnosis of other specified inflammatory spondylopathies, sacral and sacrococcygeal region.
M46.88 refers to a category of inflammatory spondylopathies that affect the sacral and sacrococcygeal regions of the spine. These conditions are characterized by inflammation of the vertebrae and surrounding tissues, leading to pain, stiffness, and potential mobility issues. Inflammatory spondylopathies can manifest in various forms, including ankylosing spondylitis, which primarily affects the spine and sacroiliac joints, causing progressive stiffness and fusion of the spine. Other inflammatory conditions may include spinal stenosis, which can result from inflammation leading to narrowing of the spinal canal, causing nerve compression. The sacral and sacrococcygeal regions are particularly significant due to their role in weight-bearing and mobility. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to identify inflammatory markers. Treatment may include anti-inflammatory medications, physical therapy, and in some cases, surgical intervention. Accurate coding is essential for proper management and reimbursement, as these conditions can significantly impact a patient's quality of life.
Detailed patient history, physical examination findings, imaging results, and laboratory tests indicating inflammation.
Patients presenting with chronic back pain, stiffness, and reduced mobility, particularly in younger adults.
Ensure that all inflammatory markers and imaging studies are documented to support the diagnosis.
Surgical notes, pre-operative assessments, and post-operative follow-ups detailing the condition and treatment outcomes.
Patients requiring surgical intervention for severe spinal stenosis or fusion due to inflammatory spondylopathy.
Document the rationale for surgical intervention and any conservative treatments attempted prior.
Used when a patient with inflammatory spondylopathy requires joint injection for pain management.
Document the indication for the procedure, including the diagnosis and treatment plan.
Rheumatologists should ensure that the procedure is justified based on clinical findings.
M46.88 includes various inflammatory spondylopathies affecting the sacral and sacrococcygeal regions, excluding those specifically classified under other codes like ankylosing spondylitis.
