Spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region
ICD-10 M47.811 is a billable code used to indicate a diagnosis of spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region.
Spondylosis refers to degenerative changes in the spine, particularly in the intervertebral discs and vertebrae, leading to pain and stiffness. The occipito-atlanto-axial region encompasses the upper cervical spine, including the occipital bone, atlas (C1), and axis (C2). This condition is characterized by the presence of osteophytes, disc degeneration, and facet joint changes without associated neurological deficits such as myelopathy or radiculopathy. Patients may present with neck pain, limited range of motion, and occasional headaches. It is important to differentiate this condition from more severe spinal disorders, such as ankylosing spondylitis, which involves inflammatory processes and can lead to significant disability. Diagnosis typically involves clinical evaluation, imaging studies like X-rays or MRI, and exclusion of other conditions. Treatment may include physical therapy, pain management, and lifestyle modifications, focusing on maintaining mobility and reducing discomfort.
Detailed history of symptoms, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic neck pain, stiffness, and limited mobility.
Ensure clear documentation of neurological assessments to rule out myelopathy or radiculopathy.
Comprehensive evaluation of inflammatory markers, patient history, and response to treatment.
Patients with suspected inflammatory spine conditions needing differentiation from spondylosis.
Document any inflammatory symptoms and family history of autoimmune diseases.
Used to evaluate degenerative changes in the cervical spine.
Document the reason for the X-ray and findings.
Orthopedic specialists often order these for initial evaluations.
Spondylosis is a degenerative condition without inflammation, while ankylosing spondylitis is an inflammatory disease that can lead to fusion of the spine.
