Spondylosis without myelopathy or radiculopathy, thoracolumbar region
ICD-10 M47.815 is a billable code used to indicate a diagnosis of spondylosis without myelopathy or radiculopathy, thoracolumbar region.
Spondylosis refers to the degenerative changes in the spine, particularly in the thoracolumbar region, which encompasses the lower thoracic and upper lumbar vertebrae. This condition is characterized by the wear and tear of the spinal discs and joints, leading to pain and stiffness. Unlike spondylosis with myelopathy or radiculopathy, this code indicates that the patient does not exhibit neurological deficits such as weakness or sensory changes in the limbs. Patients may experience localized pain, which can be exacerbated by certain movements or prolonged positions. The thoracolumbar region is particularly susceptible to spondylosis due to its role in bearing weight and facilitating movement. Risk factors include age, previous spinal injuries, and occupational hazards. Diagnosis typically involves clinical evaluation and imaging studies, such as X-rays or MRI, to assess the extent of degenerative changes. Treatment options may include physical therapy, pain management, and lifestyle modifications to alleviate symptoms and improve function.
Detailed clinical notes including patient history, physical examination findings, and imaging results.
Patients presenting with chronic back pain, stiffness, and limited mobility.
Ensure that the absence of neurological symptoms is clearly documented.
Comprehensive assessment of functional limitations and treatment plans.
Patients undergoing rehabilitation for chronic back pain due to spondylosis.
Document the impact of spondylosis on daily activities and rehabilitation goals.
Used for follow-up visits for chronic back pain management.
Document history, examination, and medical decision-making.
Orthopedic and PM&R specialties should ensure thorough documentation of functional status.
M47.815 indicates spondylosis without neurological deficits, while M47.816 includes cases where myelopathy is present, requiring additional documentation of neurological symptoms.
