Other inflammatory spondylopathies
Chapter 13:Diseases of the musculoskeletal system
ICD-10 M46 is a billable code used to indicate a diagnosis of other inflammatory spondylopathies.
M46 encompasses a variety of inflammatory conditions affecting the spine that do not fall under more specific categories such as ankylosing spondylitis. These conditions may include reactive spondylitis, psoriatic spondylitis, and other inflammatory spondyloarthropathies. Clinically, patients may present with symptoms such as chronic back pain, stiffness, and reduced mobility, often exacerbated by prolonged inactivity. The inflammatory nature of these conditions can lead to significant structural changes in the spine, including erosion and fusion of vertebrae, which can be detected through imaging studies. Diagnosis typically involves a combination of clinical evaluation, laboratory tests for inflammatory markers, and imaging techniques such as MRI or CT scans to assess the extent of inflammation and structural changes. Treatment often includes anti-inflammatory medications, physical therapy, and in some cases, surgical intervention to relieve symptoms and improve function.
Detailed clinical history, physical examination findings, imaging results, and laboratory tests.
Patients presenting with chronic back pain and stiffness, particularly in younger adults.
Ensure clear documentation of inflammatory markers and response to treatment.
Surgical notes, imaging studies, and pre-operative assessments.
Patients requiring surgical intervention for severe spinal stenosis due to inflammatory changes.
Document the rationale for surgery and any conservative treatments attempted.
Used to evaluate inflammatory changes in the spine.
Indicate the reason for the MRI and any prior treatments.
Rheumatology may require specific imaging protocols.
M46 includes various inflammatory spondylopathies such as reactive spondylitis, psoriatic spondylitis, and other non-specific inflammatory conditions affecting the spine.
