Fatigue fracture of vertebra, lumbar region
ICD-10 M48.46 is a billable code used to indicate a diagnosis of fatigue fracture of vertebra, lumbar region.
A fatigue fracture of the lumbar vertebrae is a type of stress fracture that occurs due to repetitive loading and microtrauma to the vertebral body, often seen in individuals with underlying conditions such as spondylopathies, ankylosing spondylitis, or inflammatory spine conditions. These fractures can result from chronic mechanical stress, particularly in patients with compromised bone density or structural integrity. Symptoms typically include localized pain in the lumbar region, which may worsen with activity and improve with rest. Diagnosis is often confirmed through imaging studies such as X-rays, MRI, or CT scans, which can reveal vertebral body edema or fractures not visible on plain films. Management may involve conservative treatment such as rest, analgesics, and physical therapy, or surgical intervention in severe cases. Understanding the underlying conditions that predispose patients to fatigue fractures is crucial for effective treatment and prevention.
Detailed history of the patient's symptoms, imaging results, and treatment plan.
Patients presenting with back pain after repetitive activities or trauma.
Ensure accurate documentation of any underlying conditions that may affect treatment.
Comprehensive assessment of inflammatory markers and history of spondyloarthritis.
Patients with known inflammatory spine conditions presenting with new onset back pain.
Document the relationship between inflammatory conditions and vertebral fractures.
Used in cases of vertebral compression fractures.
Document the indication for the procedure and imaging findings.
Orthopedic specialists should ensure proper coding for vertebral interventions.
Fatigue fractures in the lumbar region are primarily caused by repetitive stress and microtrauma, often exacerbated by underlying conditions such as osteoporosis or inflammatory spine diseases.
