Fatigue fracture of vertebra, site unspecified
ICD-10 M48.40 is a billable code used to indicate a diagnosis of fatigue fracture of vertebra, site unspecified.
Fatigue fractures of the vertebrae, also known as stress fractures, occur due to repetitive mechanical stress that exceeds the bone's ability to repair itself. These fractures are particularly common in individuals with underlying conditions such as spondylopathies, ankylosing spondylitis, and spinal stenosis, which can weaken the vertebrae and predispose them to injury. Inflammatory spine conditions can also contribute to the development of fatigue fractures by altering the normal biomechanics of the spine. Symptoms may include localized pain, tenderness, and reduced mobility, often exacerbated by physical activity. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to confirm the presence of a fracture and rule out other conditions. Treatment may involve rest, physical therapy, and in some cases, surgical intervention. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed imaging reports, treatment plans, and follow-up notes are essential.
Patients presenting with back pain and a history of repetitive stress or underlying spinal conditions.
Ensure that all relevant imaging and diagnostic tests are documented to support the diagnosis.
Comprehensive history of inflammatory conditions, treatment response, and any comorbidities.
Patients with ankylosing spondylitis presenting with new onset back pain.
Document the relationship between inflammatory conditions and the development of fatigue fractures.
Used in cases of vertebral compression fractures, including fatigue fractures.
Document the indication for the procedure and any imaging findings.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
A fatigue fracture develops gradually due to repetitive stress, while an acute fracture occurs suddenly due to trauma or injury.
