Congenital lordosis, lumbosacral region
ICD-10 Q76.427 is a billable code used to indicate a diagnosis of congenital lordosis, lumbosacral region.
Congenital lordosis of the lumbosacral region is characterized by an abnormal anterior curvature of the lumbar spine, which can lead to significant postural and functional challenges. This condition may be present at birth or develop shortly thereafter and is often associated with other congenital malformations of the musculoskeletal system. The lumbosacral region is particularly vulnerable due to its role in weight-bearing and mobility. Patients may present with symptoms such as back pain, difficulty in ambulation, and an altered gait pattern. The etiology of congenital lordosis can include genetic factors, intrauterine positioning, or associated syndromes such as spina bifida or muscular dystrophies. Diagnosis typically involves clinical examination and imaging studies, such as X-rays or MRI, to assess the degree of curvature and any associated anomalies. Treatment may vary from observation in mild cases to physical therapy, bracing, or surgical intervention in more severe cases. Early identification and management are crucial to improve functional outcomes and quality of life for affected individuals.
Documentation should include detailed physical examination findings, imaging results, and any associated congenital conditions.
A pediatric patient presenting with back pain and a noticeable curvature of the spine, requiring referral for orthopedic evaluation.
Consideration of growth and development milestones, as well as the psychosocial impact of congenital conditions on the child.
Genetic testing results, family history of congenital conditions, and any syndromic associations should be documented.
A child with congenital lordosis undergoing genetic counseling due to a family history of musculoskeletal disorders.
Awareness of syndromic presentations that may include lordosis, such as Marfan syndrome or Ehlers-Danlos syndrome.
Used in cases of severe congenital lordosis requiring surgical intervention.
Pre-operative assessment, imaging studies, and surgical notes.
Orthopedic and neurosurgical considerations for congenital spinal deformities.
Accurate coding of congenital lordosis is crucial for appropriate treatment planning, reimbursement, and understanding the epidemiology of congenital conditions. It ensures that patients receive the necessary care and resources for their specific needs.
