Kissing spine, site unspecified
ICD-10 M48.20 is a billable code used to indicate a diagnosis of kissing spine, site unspecified.
Kissing spine, or 'kissing spines,' refers to a condition where adjacent spinous processes of the vertebrae come into contact with each other, often leading to pain and discomfort. This condition is typically associated with spondylopathies, where degenerative changes in the spine can lead to structural alterations. Kissing spine can occur due to various factors, including mechanical stress, degenerative disc disease, or inflammatory conditions such as ankylosing spondylitis. Patients may present with localized pain, stiffness, and reduced mobility, particularly in the lumbar region. Diagnosis is often made through clinical examination and imaging studies, such as X-rays or MRI, which can reveal the proximity of the spinous processes. Treatment options may include physical therapy, pain management, and in some cases, surgical intervention. Understanding the underlying causes and associated conditions, such as spinal stenosis and inflammatory spine disorders, is crucial for effective management and coding.
Detailed clinical notes, imaging results, and treatment plans.
Patients presenting with chronic back pain and limited mobility.
Ensure clear documentation of the relationship between kissing spine and any degenerative changes.
Comprehensive assessment of inflammatory markers and patient history.
Patients with ankylosing spondylitis presenting with spinal pain.
Document any systemic symptoms or comorbidities related to inflammatory spine conditions.
Used for pain management in patients with kissing spine.
Document the indication for the procedure and any imaging findings.
Orthopedic specialists should ensure clear linkage between the procedure and the diagnosis.
Kissing spine is primarily caused by mechanical stress and degenerative changes in the spine, leading to the proximity of adjacent spinous processes.
