Vertebral artery compression syndromes, occipito-atlanto-axial region
ICD-10 M47.021 is a billable code used to indicate a diagnosis of vertebral artery compression syndromes, occipito-atlanto-axial region.
Vertebral artery compression syndromes in the occipito-atlanto-axial region refer to a condition where the vertebral arteries, which supply blood to the brain, are compressed due to structural abnormalities in the cervical spine. This can occur due to various spondylopathies, including ankylosing spondylitis, which leads to inflammation and fusion of the spinal vertebrae, resulting in reduced mobility and potential compression of the arteries. Spinal stenosis, characterized by narrowing of the spinal canal, can also contribute to this syndrome by encroaching on the vertebral arteries. Inflammatory spine conditions can exacerbate these issues, leading to symptoms such as dizziness, headaches, and neurological deficits. Accurate diagnosis often involves imaging studies like MRI or CT scans to visualize the cervical spine and assess for any structural abnormalities. Treatment may include physical therapy, pain management, and in severe cases, surgical intervention to relieve compression.
Detailed neurological examination findings, imaging results, and symptom descriptions.
Patients presenting with dizziness, headaches, or neurological deficits.
Ensure clear documentation of the relationship between symptoms and vertebral artery compression.
Comprehensive assessment of spinal alignment, mobility, and imaging studies.
Patients with chronic neck pain and history of spondylopathy.
Document any surgical interventions or conservative management strategies.
Used when surgical intervention is required for decompression.
Document the need for surgery based on imaging and clinical findings.
Orthopedic surgeons should provide detailed operative notes.
Common symptoms include dizziness, headaches, visual disturbances, and neurological deficits due to reduced blood flow to the brain.
Diagnosis typically involves a combination of clinical evaluation, imaging studies such as MRI or CT scans, and assessment of symptoms.
