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Codes / ICD10CM / M47.26

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

Medical Policies and Guidelines

Related policies from health plans