Find information on Lumbosacral Spondylosis with Radiculopathy including clinical documentation, medical coding, ICD-10 codes, diagnosis codes, treatment options, and healthcare guidelines. Learn about symptoms, causes, and prognosis for Lumbosacral Spondylosis Radiculopathy. This resource provides relevant information for healthcare professionals, medical coders, and patients seeking to understand this lower back condition. Explore resources related to radicular pain, nerve root compression, spinal stenosis, and degenerative disc disease in the lumbosacral spine.
Also known as
Other spondylosis with radiculopathy
Spondylosis with radiculopathy of the lumbosacral region.
Radiculopathy, lumbosacral region
Pinched nerve causing pain in the lower back and legs.
Other spondylosis, unspecified region
Spondylosis in a location not otherwise specified.
Lumbosacral spondylosis without myelopathy
Degenerative changes in the lumbar and sacral spine.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is there radiculopathy?
Yes
Dominant site: Lumbar?
No
Code lumbosacral spondylosis only (M47.89).
When to use each related code
Description |
---|
Lumbosacral spondylosis with radiculopathy |
Lumbosacral spondylosis without radiculopathy |
Lumbar spinal stenosis |
Using unspecified codes (e.g., M47.9, M54.9) when more specific lumbosacral spondylosis with radiculopathy codes are justified based on documentation.
Failing to code the affected side (right, left, bilateral) for the radiculopathy diagnosis, impacting reimbursement and data accuracy.
Insufficient documentation linking the lumbosacral spondylosis to the radiculopathy symptoms, leading to coding and billing errors.
Patient presents with complaints of lumbosacral pain radiating to the lower extremity, consistent with lumbosacral radiculopathy. Symptoms include lower back pain, sciatica, leg pain, numbness, tingling, and weakness. Onset of symptoms was gradual, reported as [duration and precipitating factors, if any]. Physical examination reveals [positive findings e.g., positive straight leg raise test, decreased reflexes, sensory deficits, muscle weakness] in the [affected dermatome/myotome, e.g., L5-S1 distribution]. Imaging studies, including [specify imaging modality, e.g., lumbar MRI, CT scan], demonstrate degenerative changes consistent with lumbosacral spondylosis, including [specific findings, e.g., disc herniation, osteophyte formation, spinal stenosis] at [spinal level, e.g., L4-L5, L5-S1]. Differential diagnoses considered include lumbar strain, herniated disc, spinal stenosis, piriformis syndrome, and facet joint syndrome. Assessment: Lumbosacral spondylosis with radiculopathy. Plan: Conservative management initiated, including [specify treatment plan, e.g., physical therapy, NSAIDs, muscle relaxants]. Patient education provided on proper body mechanics, activity modification, and pain management strategies. Follow-up scheduled in [timeframe] to assess response to treatment. Further interventions, including [mention potential future interventions, e.g., epidural steroid injections, surgical consultation], will be considered if symptoms do not improve with conservative measures. ICD-10 code: M47.816 (Other spondylosis with radiculopathy, lumbosacral region).