Kissing spine, thoracic region
ICD-10 M48.24 is a billable code used to indicate a diagnosis of kissing spine, thoracic region.
Kissing spine, also known as 'kissing spines syndrome,' is a condition characterized by the abnormal contact between adjacent spinous processes in the thoracic region of the spine. This condition can lead to pain, discomfort, and limited mobility due to inflammation and irritation of the surrounding soft tissues. Kissing spine often occurs in individuals with underlying spondylopathies, such as ankylosing spondylitis or degenerative disc disease, where the normal spacing between vertebrae is compromised. The thoracic region is particularly susceptible due to its structural rigidity and the load-bearing nature of the thoracic spine. Symptoms may include localized pain, tenderness, and sometimes neurological symptoms if nerve roots are affected. Diagnosis typically involves clinical examination and imaging studies, such as X-rays or MRI, to assess the alignment and spacing of the vertebrae. Treatment options may include physical therapy, pain management, and in severe cases, surgical intervention to relieve pressure and restore normal spinal alignment.
Detailed clinical notes, imaging results, and treatment plans.
Patients presenting with chronic back pain and limited mobility.
Ensure clear documentation of the relationship between symptoms and spinal alignment.
Comprehensive history of inflammatory symptoms and response to treatment.
Patients with a history of ankylosing spondylitis presenting with new thoracic pain.
Document any systemic symptoms that may indicate an inflammatory process.
Used in cases where kissing spine leads to vertebral compression fractures.
Document the necessity of the procedure due to pain and imaging findings.
Orthopedic specialists should ensure clear justification for the procedure.
Common symptoms include localized thoracic pain, tenderness over the spinous processes, and limited mobility. Patients may also experience referred pain or neurological symptoms if nerve roots are affected.
