Spondylolysis, lumbar region
ICD-10 M43.06 is a billable code used to indicate a diagnosis of spondylolysis, lumbar region.
Spondylolysis is a defect or fracture in the pars interarticularis of the lumbar vertebrae, often resulting from repetitive stress or trauma. This condition is most commonly seen in adolescents and young adults, particularly those involved in sports that require hyperextension of the spine, such as gymnastics or football. Clinically, patients may present with lower back pain that can radiate to the buttocks or thighs, often exacerbated by activity and relieved by rest. Diagnosis typically involves imaging studies, such as X-rays, MRI, or CT scans, which can reveal the defect in the pars interarticularis. Treatment options vary based on the severity of the condition and may include conservative management with physical therapy and pain relief, or surgical intervention in cases of significant instability or persistent pain. Understanding the implications of spondylolysis is crucial, as it can lead to further spinal deformities, including scoliosis, kyphosis, or lordosis, if not properly managed.
Detailed imaging reports, treatment plans, and follow-up notes.
Patients presenting with lower back pain, athletes with repetitive stress injuries, and cases requiring surgical intervention.
Documentation must clearly differentiate between spondylolysis and other spinal conditions to avoid coding errors.
Progress notes detailing treatment modalities, patient response, and functional outcomes.
Rehabilitation of patients post-surgery or those undergoing conservative management.
Therapists should document specific exercises and their impact on pain and function.
Used in cases of symptomatic spondylolysis requiring surgical intervention.
Operative report detailing the procedure, indications, and post-operative care.
Orthopedic surgeons must provide comprehensive documentation to support the necessity of surgery.
Spondylolysis is primarily caused by repetitive stress or trauma to the lumbar spine, often seen in athletes involved in sports that require hyperextension.
Diagnosis is typically made through imaging studies such as X-rays, MRI, or CT scans that reveal a defect in the pars interarticularis.
