M47.26 Other spondylosis with radiculopathy, lumbar region
ICD10CM code
ICD10CM
Name of the Condition
Other spondylosis with radiculopathy, lumbar region
Technical term: Lumbar spondylosis with radiculopathy
Summary
Lumbar spondylosis with radiculopathy is a condition where degenerative changes in the spine cause nerve root compression, resulting in pain and possible nerve dysfunction in the lower back and legs.
Causes
Degenerative changes due to aging
Osteophyte formation (bone spurs)
Disc degeneration or herniation
Spinal stenosis
Risk Factors
Age, especially over 50
Genetic predisposition
Heavy labor or repetitive strain on the spine
Obesity, which increases spinal stress
Sedentary lifestyle
Symptoms
Lower back pain
Sciatica (radiating pain along the sciatic nerve)
Numbness or tingling in the lower extremities
Muscle weakness in the legs
Diagnosis
Physical examination and patient history
Imaging tests like MRI or CT scans to visualize spine and nerve roots
Electromyography (EMG) to assess nerve function
Treatment Options
Pain management with NSAIDs or analgesics
Physical therapy to strengthen muscles and improve flexibility
Epidural steroid injections to reduce inflammation
Surgical interventions like laminectomy, in severe cases, to relieve nerve pressure
Prognosis and Follow-Up
Many patients manage symptoms effectively with conservative treatments
Regular follow-ups to adjust treatment plans and monitor progression
Surgery typically offers significant pain relief if required
Complications
Chronic pain and disability
Poor quality of life if untreated
Potential progression to permanent nerve damage
Lifestyle & Prevention
Regular exercise to maintain spinal health
Weight management to reduce stress on the spine
Ergonomic adjustments at work and home
Avoiding heavy lifting or high-impact activities
When to Seek Professional Help
Persistent lower back pain that does not improve with rest
Significant muscle weakness or numbness in the legs
Loss of bladder or bowel control, which may indicate cauda equina syndrome, a medical emergency
Additional Resources
American Academy of Orthopaedic Surgeons (AAOS)
National Institute of Neurological Disorders and Stroke (NINDS)
Spine-health.com for patient education
Tips for Medical Coders
Ensure accurate differentiation between spondylosis with and without radiculopathy
Verify lumbar region involvement and document appropriately
Avoid common codic errors such as confusing lumbar spondylosis with other spinal regions