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Other spondylosis, lumbar region

ICD10CM code

Name of the Condition

  • Other Spondylosis, Lumbar Region

Summary

  • Spondylosis refers to a degenerative condition affecting the spine, specifically reflecting changes in the vertebrae and intervertebral discs, and in this case, it pertains to the lumbar (lower back) region. "Other spondylosis" suggests variations not specifically categorized under common subtypes.

Causes

  • The primary cause of lumbar spondylosis is often the normal aging process, leading to wear and tear. Other factors may include repetitive stress or trauma to the spine, sedentary lifestyle, and genetic predispositions.

Risk Factors

  • Age is a significant risk factor, with prevalence increasing among older adults. Other risk factors include obesity, poor posture, a sedentary lifestyle, and occupational hazards involving heavy lifting or prolonged sitting.

Symptoms

  • Common symptoms include lower back pain or stiffness, reduced flexibility, and in severe cases, radiating pain or numbness due to nerve compression.

Diagnosis

  • Diagnosis typically involves a physical examination, assessment of medical history, and imaging tests like X-rays, MRI, or CT scans to observe changes in the spine.

Treatment Options

  • Treatments can include physical therapy to improve mobility and strength, pain management through medications, and lifestyle modifications. In some cases, surgical intervention may be considered if conservative treatments fail to relieve symptoms.

Prognosis and Follow-Up

  • While lumbar spondylosis is a chronic condition, many patients manage well with appropriate treatments. Regular follow-up is essential to monitor progression and adapt treatment plans as needed.

Complications

  • Possible complications include chronic pain, reduced mobility, and neurological issues resulting from nerve compression, such as sciatica.

Lifestyle & Prevention

  • Maintaining an active lifestyle with regular exercise, practicing good posture, and weight management can help alleviate symptoms and prevent progression. Ergonomic adjustments at work and home can also be beneficial.

When to Seek Professional Help

  • Immediate medical attention is necessary if there is sudden, severe back pain, loss of bowel or bladder control, or weakness in the legs, as these might indicate serious complications.

Additional Resources

Tips for Medical Coders

  • Ensure the correct localization of the condition to the lumbar region as specified by M47.896.
  • Be cautious not to confuse this code with more specific subtypes of spondylosis, such as cervical or thoracic spondylosis. Double-check all supporting documentation for accuracy.

Medical Policies and Guidelines for Other spondylosis, lumbar region

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