Spondylolisthesis, thoracolumbar region
ICD-10 M43.15 is a billable code used to indicate a diagnosis of spondylolisthesis, thoracolumbar region.
Spondylolisthesis is a condition characterized by the displacement of one vertebra over another, commonly occurring in the thoracolumbar region of the spine. This condition can lead to spinal instability, pain, and neurological symptoms due to nerve root compression. It is often classified into various types, including isthmic, degenerative, and traumatic spondylolisthesis. The thoracolumbar region, which includes the lower thoracic and upper lumbar vertebrae, is particularly susceptible due to its biomechanical load and mobility. Patients may present with symptoms such as lower back pain, leg pain, and muscle weakness. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to assess vertebral alignment and any associated spinal deformities. Treatment options may range from conservative management, including physical therapy and pain management, to surgical interventions such as spinal fusion, which aims to stabilize the affected vertebrae and alleviate symptoms. Understanding the nuances of spondylolisthesis is crucial for accurate coding and appropriate management.
Detailed operative notes, imaging studies, and pre-operative assessments are essential for accurate coding.
Patients presenting with severe back pain and neurological deficits requiring surgical intervention.
Documentation must clearly indicate the type of spondylolisthesis and any associated procedures performed.
Comprehensive evaluations including functional assessments and treatment plans.
Patients undergoing conservative management for spondylolisthesis with physical therapy.
Focus on documenting the impact of the condition on daily activities and rehabilitation progress.
Used in surgical treatment of spondylolisthesis to stabilize the spine.
Operative report detailing the procedure, indication, and any complications.
Orthopedic surgeons must document the type of spondylolisthesis and the specific vertebrae involved.
Spondylolisthesis refers to the forward displacement of a vertebra, while spondylolysis is a defect in the pars interarticularis of the vertebra, which may lead to spondylolisthesis.