M46.96 Unspecified inflammatory spondylopathy, lumbar region

ICD10CM code

#### Name of the Condition
- Unspecified inflammatory spondylopathy, lumbar region
- Also known as lumbar inflammatory spondylopathy

#### Summary
Unspecified inflammatory spondylopathy in the lumbar region is a condition characterized by inflammation affecting the vertebrae in the lower back. It can lead to pain and stiffness, impacting movement and daily activities.

#### Causes
The exact cause is often unclear, but it can be associated with autoimmune disorders, genetics, or previous infections.

#### Risk Factors
- Family history of autoimmune diseases
- Presence of other inflammatory conditions
- Age, as certain types may develop in younger adults

#### Symptoms
- Persistent lower back pain
- Stiffness in the lumbar region, especially in the morning or after inactivity
- Reduced flexibility in the lower spine

#### Diagnosis
- Clinical evaluation and medical history assessment
- Imaging tests like X-rays or MRI to detect inflammation or structural changes
- Blood tests to rule out specific markers or conditions

#### Treatment Options
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation
- Physical therapy to improve flexibility and strength
- Biologics or disease-modifying antirheumatic drugs (DMARDs) in some cases to address underlying inflammation

#### Prognosis and Follow-Up
- The condition can be managed effectively with proper treatment, although it may require ongoing therapy.
- Regular monitoring and follow-up appointments are essential for adjusting treatment plans as needed.

#### Complications
- Potential for chronic pain and mobility issues
- Risk of spinal deformity or nerve damage if untreated

#### Lifestyle & Prevention
- Regular exercise tailored to maintain spine health and mobility
- Avoiding smoking and maintaining a healthy weight to reduce strain on the lower back
- Balanced diet to support overall health and reduce inflammation

#### When to Seek Professional Help
- Sudden worsening of symptoms or onset of severe pain
- Neurological symptoms like numbness or weakness in the legs
- Inability to perform daily activities due to pain and stiffness

#### Additional Resources
- [Spondylitis Association of America](https://spondylitis.org/)
- [Arthritis Foundation](https://www.arthritis.org/)

#### Tips for Medical Coders
- Ensure to specify the lumbar region when coding this condition.
- Verify documentation to differentiate between specific types of spondylopathy and “unspecified” classifications.
- Cross-check with related codes for any concurrent conditions or complications.

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