M46.97 Unspecified inflammatory spondylopathy, lumbosacral region

ICD10CM code

#### Name of the Condition
- **Unspecified Inflammatory Spondylopathy, Lumbosacral Region**
- Also known as nonspecific inflammatory spinal disease in the lower back.

#### Summary
Unspecified inflammatory spondylopathy of the lumbosacral region refers to a condition where there is inflammation in the lower spine, but the exact cause or specific type of spinal inflammation is not identified. This can lead to discomfort and reduced mobility.

#### Causes
- The exact cause is often undetermined.
- Possible contributors include immune system dysfunction or previous spinal injuries.

#### Risk Factors
- Family history of spinal disorders.
- Autoimmune diseases.
- Previous spinal trauma or infections.
- Age, more common in adults over 30.

#### Symptoms
- Persistent lower back pain.
- Stiffness, especially in the morning or after resting.
- Reduced flexibility in the lower back.
- Possible radiating pain into the legs.

#### Diagnosis
- Physical examination to assess pain, range of motion, and any neurological signs.
- Imaging tests like X-rays, MRIs, or CT scans to identify inflammation.
- Blood tests to rule out specific types of arthritis or infections.

#### Treatment Options
- **Medications**: Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
- **Physical Therapy**: Exercises to improve flexibility and strength.
- **Lifestyle Modifications**: Posture improvement and ergonomic adjustments.
- **Advanced Treatments**: In severe cases, corticosteroid injections or surgeries may be considered.

#### Prognosis and Follow-Up
- With appropriate treatment, many individuals experience symptom relief.
- Regular follow-up is crucial to adjust treatments and prevent flare-ups.

#### Complications
- Chronic pain and disability if untreated.
- Possible spinal deformities or nerve damage due to prolonged inflammation.

#### Lifestyle & Prevention
- Maintain a physically active lifestyle.
- Weight management to reduce spinal stress.
- Avoid smoking, as it can exacerbate inflammation.

#### When to Seek Professional Help
- Severe, unrelenting back pain.
- Noticeable decline in mobility or function.
- Signs of nerve involvement, like tingling or weakness in the legs.

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

#### Tips for Medical Coders
- Ensure accurate documentation of symptoms and test results to justify the unspecified code.
- Avoid using M46.97 when a specific diagnosis, like ankylosing spondylitis, can be confirmed.

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