Spinal stenosis, lumbar region with neurogenic claudication
ICD-10 M48.062 is a billable code used to indicate a diagnosis of spinal stenosis, lumbar region with neurogenic claudication.
Spinal stenosis in the lumbar region is characterized by the narrowing of the spinal canal, which can lead to compression of the spinal cord and nerve roots. This condition often results from degenerative changes associated with aging, such as osteoarthritis, disc herniation, or spondylolisthesis. Neurogenic claudication is a hallmark symptom of lumbar spinal stenosis, presenting as pain, cramping, or weakness in the legs, which typically worsens with walking or prolonged standing and improves with sitting or bending forward. Patients may also experience numbness or tingling in the lower extremities. The diagnosis is often confirmed through imaging studies such as MRI or CT scans, which reveal the degree of stenosis and any associated structural abnormalities. Treatment options may include conservative management with physical therapy and medications, or surgical interventions such as laminectomy or spinal fusion, depending on the severity of symptoms and the impact on the patient's quality of life.
Detailed clinical notes on physical examination findings, imaging results, and treatment plans.
Patients presenting with lower back pain and leg symptoms, requiring surgical evaluation.
Ensure that all surgical indications are well-documented, including conservative management attempts.
Comprehensive neurological assessments, including sensory and motor evaluations.
Patients with chronic pain and neurological deficits related to spinal stenosis.
Document the neurological impact of symptoms and any diagnostic tests performed.
Performed for decompression of the spinal canal due to stenosis.
Pre-operative assessment, imaging results, and surgical consent.
Orthopedic surgeons must document the rationale for surgical intervention.
M48.061 refers to spinal stenosis in the lumbar region without neurogenic claudication, while M48.062 includes the presence of neurogenic claudication, which is characterized by leg pain and discomfort during physical activity.
