Collapsed vertebra, not elsewhere classified, lumbar region
ICD-10 M48.56 is a billable code used to indicate a diagnosis of collapsed vertebra, not elsewhere classified, lumbar region.
Collapsed vertebrae in the lumbar region can occur due to various underlying conditions, including trauma, osteoporosis, or malignancy. This condition is characterized by the loss of structural integrity of the vertebra, leading to a decrease in height and potential instability of the spine. Inflammatory spine conditions, such as ankylosing spondylitis, can also contribute to vertebral collapse due to chronic inflammation and subsequent weakening of the vertebral bodies. Spondylopathies, which encompass a range of spinal disorders, may lead to vertebral collapse through degenerative changes or inflammatory processes. Spinal stenosis, characterized by narrowing of the spinal canal, can exacerbate symptoms associated with vertebral collapse by increasing pressure on the spinal cord and nerves. Accurate diagnosis and coding require a thorough understanding of the patient's clinical history, imaging findings, and the specific etiology of the vertebral collapse, as treatment options may vary significantly based on the underlying cause.
Detailed imaging reports, clinical notes on the mechanism of injury or onset of symptoms, and treatment plans.
Patients presenting with back pain, history of trauma, or chronic inflammatory conditions.
Orthopedic documentation must clearly outline the relationship between the vertebral collapse and any surgical interventions planned.
Comprehensive history of inflammatory conditions, laboratory results, and imaging studies.
Patients with ankylosing spondylitis presenting with new onset back pain or neurological symptoms.
Rheumatology notes should emphasize the inflammatory nature of the condition and its impact on vertebral stability.
Used in cases of vertebral collapse due to osteoporosis.
Pre-operative imaging and clinical notes justifying the procedure.
Orthopedic surgeons must document the specific vertebrae involved and the reason for intervention.
The primary causes of a collapsed vertebra include osteoporosis, trauma, malignancy, and inflammatory conditions such as ankylosing spondylitis. Each cause may require different management strategies.
