T84.296S Other mechanical complication of internal fixation device of vertebrae, sequela

ICD10CM code

#### Name of the Condition
- Other mechanical complication of internal fixation device of vertebrae, sequela
- Also known as complications from vertebral fixation device, long-term effects

#### Summary
This condition refers to ongoing or long-term issues stemming from mechanical complications associated with devices used to stabilize vertebrae in the spine. These issues persist after the initial mechanical problem has occurred, potentially affecting the patient's recovery and quality of life.

#### Causes
- Prior surgery involving vertebral fixation devices
- Wear and tear or failure of the device
- Improper positioning during initial surgery
- Trauma or excessive physical activity post-surgery

#### Risk Factors
- History of spinal surgery
- Poor bone health or osteopenia/osteoporosis
- Previous mechanical failures or complications
- High impact or physical stress on the spine

#### Symptoms
- Persistent back pain
- Reduced mobility
- Numbness or tingling in extremities
- Signs of infection, such as swelling or redness at the surgical site

#### Diagnosis
- Physical examination
- Imaging tests such as X-rays, CT scans, or MRIs to evaluate device integrity and position
- Assessment of patient history concerning previous spinal surgery

#### Treatment Options
- Pain management with medications
- Physical therapy to improve mobility and strength
- Surgical revision to correct device positioning or replacement
- Monitoring and managing any associated infections

#### Prognosis and Follow-Up
- Varies due to individual patient factors and severity of device complications
- Regular follow-up with spine specialist or orthopedic surgeon
- Long-term management may be necessary in some cases

#### Complications
- Chronic pain and mobility issues
- Possible device failure leading to further surgery
- Neurological deficits if spinal nerves are affected

#### Lifestyle & Prevention
- Maintaining proper posture and body mechanics
- Avoiding high-impact activities unless cleared by a healthcare provider
- Ensuring adequate calcium and vitamin D intake for bone health

#### When to Seek Professional Help
- Sudden increase in pain or changes in mobility
- Signs of infection, such as fever or chills
- New symptoms like numbness, tingling, or weakness

#### Additional Resources
- [American Association of Neurological Surgeons](https://www.aans.org/)
- [Orthopaedic Research Society](https://www.ors.org/)
- Support groups focusing on spinal surgery recovery

#### Tips for Medical Coders
- Ensure accurate documentation of the sequela nature of the complication.
- Verify if additional codes are needed for specific conditions related to the mechanical complication like infection or neurological symptoms.
- Common coding error: Misclassification of the sequela as an initial or acute condition.

Medical Policies and Guidelines for Other mechanical complication of internal fixation device of vertebrae, sequela

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