M51.36 Other intervertebral disc degeneration, lumbar region

ICD10CM code

#### Name of the Condition
- Other Intervertebral Disc Degeneration, Lumbar Region
- ICD-10 Code: M51.36

#### Summary
Other intervertebral disc degeneration in the lumbar region refers to the deterioration of intervertebral discs in the lower back that does not fit the definitions of more specific categories. This condition can lead to pain, reduced flexibility, and other complications due to the spinal discs losing their ability to function as effective shock absorbers.

#### Causes
- Age-related wear and tear
- Repeated mechanical stress on the spine
- Genetic predisposition

#### Risk Factors
- Aging
- Sedentary lifestyle
- Obesity 
- History of spinal injuries
- Repetitive lifting or heavy work

#### Symptoms
- Persistent lower back pain
- Stiffness in the lumbar region
- Radiating pain down the legs (sciatica)
- Numbness or tingling in the extremities
- Decreased mobility and flexibility

#### Diagnosis
- Physical examination to assess range of motion and pain levels
- Imaging tests such as X-rays, MRI, or CT scans to visualize disc condition
- Medical history review

#### Treatment Options
- Medications: NSAIDs or analgesics to reduce pain and inflammation
- Physical therapy: exercises to strengthen back muscles and improve flexibility
- Epidural steroid injections for severe pain
- Surgery (e.g., discectomy or spinal fusion) in advanced cases where conservative treatments fail

#### Prognosis and Follow-Up
- Many patients experience relief with conservative treatment, but symptoms can recur
- Regular follow-up to monitor disc health and manage pain effectively 
- Prognosis varies; lifestyle adjustments can improve long-term outcomes

#### Complications
- Chronic pain
- Reduced mobility
- Herniated discs
- Spinal stenosis if severe degeneration compresses nerves

#### Lifestyle & Prevention
- Maintain a healthy weight to reduce stress on the spine
- Engage in regular low-impact exercises (e.g., swimming, walking)
- Practice good posture and ergonomics during daily activities
- Smoking cessation to improve spinal health

#### When to Seek Professional Help
- Severe, persistent back pain that interferes with daily activities
- Pain accompanied by weakness, numbness, or difficulty controlling bowel or bladder
- Sudden increase in intensity or spread of symptoms

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- Spine Health Organization
- National Institute of Neurological Disorders and Stroke (NINDS)

#### Tips for Medical Coders
- Ensure the specific region and type of degeneration are documented in medical records
- Avoid confusing this code with more specific degenerative disc diseases (e.g., herniated disc codes)

Medical Policies and Guidelines for Other intervertebral disc degeneration, lumbar region

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