Ankylosing hyperostosis [Forestier], thoracic region
ICD-10 M48.14 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], thoracic 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 thoracic region of the spine, resulting in a rigid spine and potential thoracic deformities. Patients may experience back pain, limited range of motion, and in severe cases, respiratory issues due to thoracic involvement. The etiology is not fully understood but is thought to involve genetic predisposition and mechanical stress. Diagnosis is typically made through imaging studies, such as X-rays or MRI, which reveal characteristic changes in the spine. Management focuses on pain relief, physical therapy, and in some cases, surgical intervention may be necessary to alleviate severe symptoms or complications. Early diagnosis and intervention are crucial to improve the quality of life for affected individuals.
Detailed clinical history, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic back pain and stiffness, particularly in older adults.
Ensure differentiation from other inflammatory spine diseases and document any comorbid conditions.
Surgical notes, imaging studies, and pre-operative assessments.
Patients requiring surgical intervention for severe spinal deformities or pain management.
Document the extent of spinal involvement and any functional limitations.
Used in cases where severe hyperostosis leads to spinal instability.
Pre-operative assessments, imaging studies, and surgical notes.
Orthopedic surgeons should document the extent of hyperostosis and its impact on spinal function.
M48.14 specifically refers to ankylosing hyperostosis affecting the thoracic region, while M45 codes pertain to ankylosing spondylitis, which is an inflammatory condition with different clinical implications.
