Fusion of spine, lumbar region
ICD-10 M43.26 is a billable code used to indicate a diagnosis of fusion of spine, lumbar region.
Fusion of the lumbar spine is a surgical procedure aimed at joining two or more vertebrae in the lower back to stabilize the spine, alleviate pain, and correct deformities. This procedure is often indicated for conditions such as degenerative disc disease, spondylolisthesis, spinal stenosis, and severe cases of scoliosis or kyphosis. The fusion process involves the use of bone grafts, which may be harvested from the patient or obtained from a donor, and the application of hardware such as screws and rods to maintain alignment during the healing process. The goal is to promote bone growth between the vertebrae, effectively creating a single solid bone structure. Spinal fusion can significantly improve the quality of life for patients suffering from debilitating back pain and can restore function in cases of spinal deformities. However, it is essential to consider the risks, including infection, nerve damage, and the possibility of adjacent segment disease, where degeneration occurs in the vertebrae adjacent to the fused segment.
Detailed operative reports, imaging studies, and pre-operative evaluations must be documented to support the necessity of the fusion.
Patients with chronic lower back pain due to degenerative disc disease or spondylolisthesis requiring surgical intervention.
Documentation must clearly outline the surgical technique used and any complications encountered during the procedure.
Comprehensive neurological assessments and imaging results are crucial to justify the need for fusion surgery.
Patients with neurological deficits due to spinal stenosis or herniated discs requiring decompression and stabilization.
Ensure that the documentation reflects the neurological status of the patient pre- and post-operatively.
Used when performing a posterior lumbar fusion for spondylolisthesis.
Operative report detailing the procedure, levels involved, and any hardware used.
Orthopedic surgeons must document the rationale for the surgical approach chosen.
Conditions such as degenerative disc disease, spondylolisthesis, severe scoliosis, and spinal stenosis often necessitate lumbar spinal fusion to stabilize the spine and alleviate pain.
Documentation should include detailed clinical evaluations, imaging results, and a clear explanation of conservative treatments attempted prior to surgery.
