Spinal enthesopathy, lumbosacral region
ICD-10 M46.07 is a billable code used to indicate a diagnosis of spinal enthesopathy, lumbosacral region.
Spinal enthesopathy in the lumbosacral region refers to a condition characterized by inflammation and degeneration at the sites where tendons and ligaments attach to the vertebrae in the lower back. This condition is often associated with various inflammatory spine diseases, including ankylosing spondylitis, which is a type of spondyloarthritis that primarily affects the spine and the sacroiliac joints. Patients may experience chronic pain, stiffness, and reduced mobility in the lumbosacral area. The condition can also be linked to spinal stenosis, where the spinal canal narrows, leading to nerve compression and further exacerbating symptoms. Diagnosis typically involves clinical evaluation, imaging studies, and sometimes laboratory tests to rule out other conditions. Treatment may include physical therapy, anti-inflammatory medications, and in some cases, surgical intervention. Understanding the nuances of spinal enthesopathy is crucial for accurate coding and effective patient management.
Detailed history of symptoms, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic lower back pain, stiffness, and a family history of inflammatory spine diseases.
Documentation must clearly indicate the relationship between enthesopathy and any underlying inflammatory conditions.
Comprehensive assessment of spinal alignment, mobility tests, and imaging studies.
Patients with mechanical back pain and signs of enthesopathy on imaging.
Orthopedic evaluations should include functional assessments and potential surgical options if conservative treatments fail.
Used when a patient with spinal enthesopathy requires injection for pain relief.
Document the joint/bursa involved, indication for the procedure, and post-procedure assessment.
Rheumatologists may perform this procedure under ultrasound guidance for accuracy.
Spinal enthesopathy is often associated with inflammatory conditions such as ankylosing spondylitis, which leads to chronic inflammation at the entheses, causing pain and dysfunction.
