Ankylosing hyperostosis [Forestier], multiple sites in spine
ICD-10 M48.19 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], multiple sites in spine.
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 older adults and is often associated with other spondylopathies. Patients may present with back pain, stiffness, and a decreased range of motion, particularly in the thoracic and lumbar regions. The condition can lead to significant functional impairment and may be mistaken for ankylosing spondylitis, although the latter is primarily inflammatory in nature. Diagnosis is typically confirmed through imaging studies, such as X-rays or MRI, which reveal characteristic changes in the spine. Management focuses on pain relief and maintaining mobility, often involving physical therapy and anti-inflammatory medications. In severe cases, surgical intervention may be necessary to alleviate symptoms or address complications such as spinal stenosis.
Detailed history of symptoms, physical examination findings, and imaging results.
Patients presenting with chronic back pain and stiffness, particularly in older adults.
Differentiating between inflammatory and degenerative spinal conditions is crucial for accurate coding.
Surgical notes, imaging studies, and pre-operative assessments.
Patients requiring surgical intervention for severe spinal stenosis due to hyperostosis.
Documentation must clearly outline the extent of spinal involvement and any surgical procedures performed.
Used in cases where severe spinal stenosis due to hyperostosis necessitates surgical intervention.
Pre-operative assessments, imaging studies, and surgical notes detailing the procedure.
Orthopedic surgeons must document the extent of hyperostosis and any associated conditions.
Key symptoms include chronic back pain, stiffness, and reduced range of motion, particularly in the thoracic and lumbar regions.
Diagnosis is typically made through clinical evaluation and imaging studies, such as X-rays or MRI, which reveal characteristic changes in the spine.
Ankylosing hyperostosis is characterized by calcification of the anterior longitudinal ligament, while ankylosing spondylitis is primarily an inflammatory condition affecting the spine.
