Spondylolysis
ICD-10 M43.0 is a billable code used to indicate a diagnosis of spondylolysis.
Spondylolysis is a defect in the pars interarticularis of the vertebral arch, often resulting from stress fractures due to repetitive trauma or overuse, particularly in athletes. This condition is most commonly seen in the lumbar spine, particularly at the L5 vertebra. Patients may present with lower back pain, which can be exacerbated by physical activity, particularly extension of the lumbar spine. In some cases, spondylolysis can lead to spondylolisthesis, where one vertebra slips forward over another, potentially causing nerve compression and further complications. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to visualize the defect and assess any associated spinal deformities. Treatment options may include conservative management with physical therapy, bracing, and pain management, or surgical intervention such as spinal fusion in cases of significant instability or persistent symptoms. Understanding the implications of spondylolysis is crucial for effective management and coding, particularly in relation to associated spinal deformities like scoliosis, kyphosis, and lordosis.
Detailed imaging reports, treatment plans, and follow-up notes are essential.
Athletes presenting with lower back pain, patients with chronic back pain requiring surgical evaluation.
Documentation must clearly differentiate between spondylolysis and other spinal conditions.
Functional assessments, therapy progress notes, and pain management strategies.
Patients undergoing rehabilitation post-surgery or those with chronic pain management needs.
Focus on functional outcomes and the impact of spondylolysis on daily activities.
Used when surgical intervention is required for spondylolysis with instability.
Operative reports detailing the procedure and indication for surgery.
Orthopedic surgeons must document the rationale for surgical intervention.
Spondylolysis is primarily caused by repetitive stress and trauma to the lumbar spine, often seen in athletes involved in sports that require hyperextension of the back.
