Unspecified inflammatory spondylopathy, thoracolumbar region
ICD-10 M46.95 is a billable code used to indicate a diagnosis of unspecified inflammatory spondylopathy, thoracolumbar region.
Unspecified inflammatory spondylopathy in the thoracolumbar region refers to a group of inflammatory conditions affecting the spine, particularly in the thoracic and lumbar areas. These conditions can lead to pain, stiffness, and reduced mobility. Inflammatory spondylopathies encompass a range of disorders, including ankylosing spondylitis, which is characterized by chronic inflammation of the spine and sacroiliac joints, potentially leading to fusion of the vertebrae. Other inflammatory spine conditions may include psoriatic arthritis and reactive arthritis, which can also affect spinal structures. The thoracolumbar region is particularly significant as it bears much of the body's weight and is crucial for mobility. Diagnosis often involves clinical evaluation, imaging studies, and laboratory tests to identify inflammatory markers. Treatment typically includes 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 lab tests indicating inflammation.
Patients presenting with chronic back pain, stiffness, and fatigue, often with a family history of autoimmune diseases.
Ensure clear documentation of inflammatory markers and response to treatment.
Surgical notes, imaging studies, and pre-operative assessments.
Patients requiring surgical intervention for severe spinal stenosis or deformities due to inflammatory spondylopathy.
Document the impact of inflammation on spinal stability and mobility.
Used to evaluate inflammatory changes in the thoracolumbar region.
MRI report indicating findings consistent with inflammatory spondylopathy.
Rheumatologists and orthopedic surgeons should ensure imaging correlates with clinical findings.
M46.95 is used for unspecified inflammatory spondylopathy, while M45 specifically refers to ankylosing spondylitis. Accurate documentation is essential to determine the appropriate code.
