Radiculopathy, thoracolumbar region
ICD-10 M54.15 is a billable code used to indicate a diagnosis of radiculopathy, thoracolumbar region.
Radiculopathy in the thoracolumbar region refers to a condition where nerve roots in the thoracic and lumbar spine are compressed or irritated, leading to pain, weakness, or numbness that radiates along the path of the affected nerve. This condition often presents with dorsalgia (back pain) and may be associated with sciatica, which is characterized by pain radiating down the leg. The thoracolumbar region is particularly susceptible to injury due to its role in supporting the upper body and facilitating movement. Common causes of thoracolumbar radiculopathy include herniated discs, spinal stenosis, and degenerative disc disease. Patients may experience symptoms such as localized back pain, tingling sensations, and muscle weakness. Conservative management typically includes physical therapy, pain management with NSAIDs, and activity modification. In cases where conservative treatment fails, surgical options such as discectomy or laminectomy may be considered to relieve nerve compression. Accurate diagnosis and treatment are crucial for effective management and recovery.
Detailed history of present illness, physical examination findings, imaging results, and treatment plans.
Patients presenting with back pain and neurological symptoms, post-surgical follow-ups.
Ensure documentation reflects the severity and impact on daily activities.
Neurological examination findings, diagnostic imaging, and response to treatments.
Patients with chronic radiculopathy, evaluation of nerve conduction studies.
Document any neurological deficits and their progression over time.
Used when surgical intervention is required for radiculopathy.
Operative report detailing the procedure and indication.
Orthopedic surgeons must document the rationale for surgery.
Common causes include herniated discs, spinal stenosis, degenerative disc disease, and trauma. Each of these conditions can lead to nerve root compression, resulting in radiculopathy symptoms.
