Understanding Retrolisthesis: Find information on diagnosis, treatment, and clinical documentation of posterior vertebral slippage. This resource covers medical coding for Retrolisthesis, including ICD-10 codes, and addresses grading, symptoms, and causes like degenerative disc disease and spinal instability. Learn about healthcare management of Retrolisthesis with details on physical therapy, pain management, and surgical interventions. Explore relevant anatomy, including the spine, vertebrae, and intervertebral discs, for a comprehensive overview of this spinal condition.
Also known as
Spondylolisthesis
Retrolisthesis is a type of spondylolisthesis, backward displacement of vertebra.
Other intervertebral disc disorders
Retrolisthesis can involve disc degeneration contributing to instability.
Cervicocranial syndrome
Retrolisthesis in the cervical spine may cause cervicocranial symptoms.
Other specified biomechanical lesions
Retrolisthesis is a biomechanical lesion affecting spinal alignment.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the retrolisthesis traumatic?
Yes
Site specified?
No
Site specified?
When to use each related code
Description |
---|
Backward slippage of vertebra |
Spondylolisthesis |
Degenerative disc disease |
Coding retrolisthesis without specifying the vertebral level (e.g., C4-C5) leads to claim denials and inaccurate severity reflection.
Insufficient documentation of retrolisthesis type (e.g., degenerative, traumatic) impacts accurate coding and CDI efforts for proper reimbursement.
Miscoding retrolisthesis as anterolisthesis due to similar terminology leads to coding errors, impacting data integrity and compliance.
Patient presents with complaints of low back pain, possibly indicative of retrolisthesis. Symptoms include localized pain, stiffness, and potentially radiating pain to the buttocks or thighs. The patient reports [duration of symptoms] and describes the pain as [character of pain: e.g., sharp, dull, aching, burning]. Physical examination reveals [specific findings: e.g., limited range of motion, tenderness to palpation, muscle spasm, neurological deficits]. Imaging studies, including [specify imaging: e.g., lateral x-ray, MRI, CT scan], were ordered to evaluate for vertebral slippage and assess the degree of retrolisthesis. Differential diagnoses considered include degenerative disc disease, spinal stenosis, facet joint syndrome, and spondylolisthesis. Assessment suggests retrolisthesis at [spinal level: e.g., L4-L5] with [grade of slippage: e.g., Grade 1, Grade 2] based on radiographic measurements. Initial treatment plan includes conservative management with [specify treatment: e.g., physical therapy, NSAIDs, muscle relaxants, pain management]. Patient education provided on proper body mechanics, posture, and activity modification. Follow-up scheduled in [timeframe] to assess response to treatment and determine if further intervention, such as interventional pain management or surgical consultation, is necessary. ICD-10 code [appropriate ICD-10 code: e.g., M43.17] is being considered, pending confirmation of diagnosis and response to treatment. CPT codes for evaluation and management, imaging, and procedures will be documented accordingly.