Ankylosing hyperostosis [Forestier], sacral and sacrococcygeal region
ICD-10 M48.18 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], sacral and sacrococcygeal 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 sacral and sacrococcygeal regions, resulting in significant discomfort and potential neurological complications due to spinal stenosis. Patients may present with chronic back pain, stiffness, and a limited range of motion, particularly in the lumbar and sacral areas. The condition is often associated with other spondylopathies, including ankylosing spondylitis, which is an inflammatory arthritis affecting the spine and large joints. Diagnosis typically involves imaging studies such as X-rays or MRI, which reveal characteristic changes in the spine. Management may include physical therapy, pain management, and in severe cases, surgical intervention to relieve spinal stenosis or correct deformities. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed clinical history, physical examination findings, and imaging results.
Patients presenting with chronic back pain and stiffness, particularly in younger adults.
Documentation must clearly differentiate between inflammatory and degenerative conditions.
Surgical notes, pre-operative assessments, and post-operative follow-ups.
Patients requiring surgical intervention for spinal stenosis or deformity correction.
Accurate coding of surgical procedures in relation to the diagnosis is crucial.
Used in cases where spinal stenosis due to hyperostosis requires surgical intervention.
Pre-operative imaging, surgical notes, and post-operative assessments.
Orthopedic surgeons must document the rationale for surgery and the expected outcomes.
M48.18 specifically refers to ankylosing hyperostosis, while M45 encompasses a broader category of ankylosing spondylitis, which includes inflammatory components.
