Spondylolysis, multiple sites in spine
ICD-10 M43.09 is a billable code used to indicate a diagnosis of spondylolysis, multiple sites in spine.
Spondylolysis is a defect or fracture in the pars interarticularis of the vertebra, often leading to instability and potential displacement of the vertebrae. When it occurs at multiple sites in the spine, it can significantly impact spinal alignment and function. This condition is commonly associated with various spinal deformities, including scoliosis, kyphosis, and lordosis, which can exacerbate the symptoms and complicate treatment. Patients may present with lower back pain, muscle spasms, and neurological symptoms if nerve roots are affected. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to confirm the presence of spondylolysis and assess the degree of spinal deformity. Treatment options may include conservative management with physical therapy and pain management, or surgical interventions such as spinal fusion to stabilize the affected vertebrae. The complexity of managing spondylolysis at multiple sites necessitates a comprehensive approach to care, including monitoring for associated conditions and potential complications.
Detailed imaging reports, surgical notes, and follow-up assessments.
Patients presenting with chronic back pain and imaging-confirmed spondylolysis.
Ensure documentation reflects the complexity of multiple sites and any surgical interventions performed.
Comprehensive evaluations, treatment plans, and progress notes.
Patients undergoing rehabilitation post-surgery or conservative management for spondylolysis.
Document functional limitations and response to therapy to support coding.
Used in surgical treatment of spondylolysis with instability.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the rationale for surgical intervention.
Spondylolysis refers to a defect in the pars interarticularis of the vertebra, while spondylolisthesis involves the slippage of one vertebra over another, which can occur as a result of spondylolysis.