Adult osteochondrosis of spine, thoracolumbar region
ICD-10 M42.15 is a billable code used to indicate a diagnosis of adult osteochondrosis of spine, thoracolumbar region.
Adult osteochondrosis of the thoracolumbar spine is a degenerative condition characterized by the deterioration of the intervertebral discs and vertebral bodies in the thoracic and lumbar regions of the spine. This condition often manifests as pain, stiffness, and reduced mobility, which can lead to significant functional impairment. Osteochondrosis is typically associated with age-related changes, repetitive stress, or trauma, and may result in spinal deformities such as scoliosis, kyphosis, or lordosis. Patients may experience radicular symptoms due to nerve root compression, and imaging studies often reveal disc degeneration, osteophyte formation, and potential spinal canal narrowing. Treatment options may include conservative management such as physical therapy and pain management, or surgical interventions like spinal fusion to stabilize the affected segments. Accurate coding for M42.15 requires thorough documentation of the clinical presentation, imaging findings, and any associated spinal deformities.
Detailed operative reports, imaging studies, and pre-operative assessments are essential.
Patients presenting with chronic back pain, radiculopathy, or requiring surgical intervention for spinal stabilization.
Documentation must clearly outline the rationale for surgical procedures and any associated spinal deformities.
Comprehensive evaluations including functional assessments and treatment plans.
Patients undergoing rehabilitation for pain management and mobility improvement post-diagnosis.
Focus on documenting the impact of osteochondrosis on daily activities and rehabilitation goals.
Used in cases where osteochondrosis leads to instability requiring surgical intervention.
Operative report detailing the procedure, indications, and any pre-existing conditions.
Orthopedic surgeons must document the rationale for fusion and any associated deformities.
Common symptoms include chronic back pain, stiffness, reduced mobility, and potential radicular symptoms due to nerve root compression.
Diagnosis is typically made through clinical evaluation, imaging studies such as MRI or CT scans, and assessment of functional impairment.
Treatment options may include conservative management like physical therapy and pain management, or surgical interventions such as spinal fusion.
