Ankylosing hyperostosis [Forestier], thoracolumbar region
ICD-10 M48.15 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], thoracolumbar region.
Ankylosing hyperostosis, also known as Forestier's disease, is characterized by calcification and ossification of the anterior longitudinal ligament of the spine, leading to stiffness and reduced mobility. This condition primarily affects the thoracolumbar region, where the thoracic spine meets the lumbar spine. Patients often present with back pain and stiffness, particularly after periods of inactivity. The condition is more prevalent in older adults and may be associated with other inflammatory spine conditions, such as ankylosing spondylitis. Diagnosis typically involves imaging studies, including X-rays or MRI, which reveal characteristic changes in the spine. The pathophysiology involves abnormal bone remodeling and inflammation, leading to the formation of bony bridges between vertebrae. Management may include physical therapy, pain management, and in severe cases, surgical intervention. Understanding the nuances of this condition is crucial for accurate coding and appropriate treatment planning.
Detailed patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic back pain, stiffness, and limited mobility.
Ensure clear documentation of inflammatory markers and response to treatment.
Surgical notes, imaging studies, and post-operative assessments.
Patients requiring surgical intervention for severe spinal deformity or pain.
Document the extent of spinal involvement and any associated procedures performed.
Used to evaluate the extent of hyperostosis in patients with suspected Forestier's disease.
Document the reason for the MRI and findings related to the thoracolumbar region.
Rheumatologists and orthopedists should ensure imaging correlates with clinical findings.
The primary symptom is chronic back pain and stiffness, particularly after periods of inactivity.
Diagnosis is typically made through clinical evaluation and imaging studies, such as X-rays or MRI, which reveal characteristic changes in the spine.
