Adult osteochondrosis of spine, occipito-atlanto-axial region
ICD-10 M42.11 is a billable code used to indicate a diagnosis of adult osteochondrosis of spine, occipito-atlanto-axial region.
Adult osteochondrosis of the spine, particularly in the occipito-atlanto-axial region, refers to a degenerative condition affecting the vertebrae and intervertebral discs in this specific area of the cervical spine. This condition is characterized by the degeneration of cartilage and bone, leading to pain, stiffness, and potential neurological deficits due to compression of surrounding structures. Patients may present with symptoms such as neck pain, reduced range of motion, and headaches. The occipito-atlanto-axial region is crucial for head movement and stability, and degeneration here can significantly impact quality of life. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of degeneration and rule out other conditions. Treatment may include conservative management with physical therapy, pain management, and in some cases, surgical intervention such as spinal fusion to stabilize the affected area and alleviate symptoms.
Detailed surgical notes, imaging reports, and pre-operative assessments are essential.
Patients presenting with chronic neck pain and limited mobility, requiring surgical intervention.
Documentation must clearly outline the rationale for surgery and any co-existing conditions.
Neurological assessments, imaging studies, and detailed patient history are crucial.
Patients with neurological symptoms such as radiculopathy or myelopathy due to spinal degeneration.
Documentation should include neurological findings and correlation with imaging results.
Used in cases of severe degeneration requiring stabilization.
Operative report detailing the procedure and indications.
Orthopedic documentation must include pre-operative assessments and post-operative follow-up.
Common symptoms include neck pain, stiffness, headaches, and potential neurological deficits due to nerve compression.
Diagnosis is typically made through clinical evaluation and imaging studies such as X-rays or MRI that reveal degeneration in the occipito-atlanto-axial region.
