M47.819 Spondylosis without myelopathy or radiculopathy, site unspecified

ICD10CM code

#### Name of the Condition
- **Spondylosis without myelopathy or radiculopathy, site unspecified**
- Commonly referred to as spinal osteoarthritis or degenerative joint disease.

#### Summary
- Spondylosis is a degenerative condition in which the spine undergoes wear and tear, leading to potential pain and stiffness, typically without nerve compression leading to more severe symptoms.

#### Causes
- Aging is the primary cause, leading to the breakdown of cartilage and discs in the spine.
- Other potential causes include repetitive stress injuries, obesity, and hereditary factors.

#### Risk Factors
- Age: More common in middle-aged and older adults.
- Genetic predisposition: Family history of spondylosis or arthritis.
- Lifestyle: Sedentary lifestyle, poor posture, or heavy lifting.

#### Symptoms
- Lower back or neck pain and stiffness.
- Decreased range of motion in the spine.
- Occasionally, crepitus or a "cracking" sound in the spine.

#### Diagnosis
- **Physical Examination**: Assessment of spine flexibility and tenderness.
- **Imaging Tests**: X-rays, MRI, or CT scans to assess spine degeneration.
- **Clinical History**: Evaluation of patient's symptoms and medical history.

#### Treatment Options
- **Medications**: NSAIDs or pain relievers to alleviate discomfort.
- **Physical Therapy**: Strengthening exercises and improving flexibility.
- **Lifestyle Modifications**: Weight management and ergonomic changes.
- **Surgery**: Rare, but may be considered in severe cases of degenerative changes.

#### Prognosis and Follow-Up
- Chronic but manageable condition; symptoms may progress slowly.
- Regular follow-up is important to monitor progression and manage symptoms.

#### Complications
- Potential for developing more severe degenerative conditions if untreated.
- Chronic pain can lead to decreased mobility and quality of life.

#### Lifestyle & Prevention
- Regular exercise to maintain spinal strength and flexibility.
- Maintaining a healthy weight to reduce stress on the spine.
- Ergonomic workplace adjustments to avoid repetitive stress injuries.

#### When to Seek Professional Help
- Persistent, worsening pain that interferes with daily activities.
- Any new symptoms such as numbness, tingling, or weakness.

#### Additional Resources
- [Arthritis Foundation](https://www.arthritis.org)
- [American Academy of Orthopaedic Surgeons](https://www.aaos.org)

#### Tips for Medical Coders
- Ensure the distinction between spondylosis with and without myelopathy or radiculopathy is clear.
- Verify the documentation indicates the unspecified site; specific site coding requires different codes.
- Avoid conflating symptoms of other spinal conditions when coding.

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