Fatigue fracture of vertebra, cervicothoracic region
ICD-10 M48.43 is a billable code used to indicate a diagnosis of fatigue fracture of vertebra, cervicothoracic region.
A fatigue fracture of the vertebra in the cervicothoracic region is a type of stress fracture that occurs due to repetitive mechanical stress on the vertebrae, leading to microdamage and eventual fracture. This condition is often seen in individuals with underlying spondylopathies, such as ankylosing spondylitis, where inflammation and structural changes in the spine predispose the vertebrae to fatigue fractures. Patients may present with localized pain, stiffness, and reduced mobility, particularly in the neck and upper back. Diagnosis typically involves imaging studies, such as X-rays or MRI, to confirm the presence of a fracture and assess any associated spinal stenosis or inflammatory changes. Treatment may include conservative management with rest, physical therapy, and pain management, although surgical intervention may be necessary in severe cases. Understanding the interplay between fatigue fractures and other spinal conditions is crucial for effective management and coding.
Detailed imaging reports, clinical notes on pain assessment, and treatment plans.
Patients presenting with chronic back pain and a history of repetitive stress activities.
Ensure clear documentation of any surgical interventions or referrals to physical therapy.
Comprehensive history of inflammatory conditions, lab results, and treatment responses.
Patients with ankylosing spondylitis experiencing new onset back pain.
Document the relationship between inflammatory markers and the presence of fatigue fractures.
Used in cases of vertebral compression fractures.
Pre-operative imaging and assessment of fracture stability.
Orthopedic surgeons must document the need for surgical intervention.
Fatigue fractures in this region are primarily caused by repetitive mechanical stress, often exacerbated by underlying conditions such as ankylosing spondylitis or osteoporosis.
