Ankylosing hyperostosis [Forestier], cervicothoracic region
ICD-10 M48.13 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], cervicothoracic region.
Ankylosing hyperostosis, also known as Forestier's disease, is characterized by calcification and ossification of the anterior longitudinal ligament of the spine, leading to stiffness and reduced mobility. This condition primarily affects the cervicothoracic region, where the cervical spine meets the thoracic spine. Patients often present with neck pain and stiffness, which can progress to significant limitations in range of motion. The pathophysiology involves chronic inflammation and subsequent ossification, which can be associated with other inflammatory spine conditions such as ankylosing spondylitis. Diagnosis is typically made through imaging studies, including X-rays or MRI, which reveal characteristic changes in the spine. The condition is more prevalent in older adults and may be associated with other spondylopathies, including spinal stenosis, where narrowing of the spinal canal can occur due to the bony overgrowth. Management often includes physical therapy, pain management, and in some cases, surgical intervention to relieve symptoms and improve function.
Detailed history of symptoms, physical examination findings, and imaging results.
Patients presenting with chronic neck pain and stiffness, particularly in older adults.
Documentation should clearly differentiate between ankylosing hyperostosis and ankylosing spondylitis.
Surgical notes, imaging studies, and pre-operative assessments.
Patients requiring surgical intervention for spinal stenosis related to hyperostosis.
Ensure that the surgical indication is well-documented to support coding.
Used when surgical intervention is required for severe cases of hyperostosis.
Pre-operative assessments, imaging studies, and surgical notes.
Orthopedic documentation must clearly indicate the need for surgery.
The primary symptom is chronic neck pain and stiffness, particularly in the cervicothoracic region.
Diagnosis is typically made through imaging studies such as X-rays or MRI, which reveal characteristic changes in the spine.
Treatment options include physical therapy, pain management, and in some cases, surgical intervention to relieve symptoms.
