ICD Code M47.817

ICD code M47.817 is a classification used to describe a condition known as spondylosis without myelopathy or radiculopathy in the lumbosacral region. This means that there is a degenerative change in the spine, specifically in the lower back area, but it does not involve any compression or damage to the spinal cord (myelopathy) or nerve roots (radiculopathy). This code is used by healthcare providers to document and communicate this specific diagnosis for billing and treatment purposes.

1. Chronic Back Pain: Persistent pain in the lower back region that does not resolve with standard treatment and is not associated with nerve root compression or spinal cord involvement.

2. Degenerative Changes: Evidence of degenerative changes in the lumbosacral spine observed through imaging studies such as X-rays, MRI, or CT scans, indicating wear and tear of the spinal discs and joints.

3. Limited Range of Motion: Reduced flexibility or difficulty in moving the lower back, which may be observed during a physical examination.

4. Stiffness: Sensation of stiffness in the lumbosacral region, particularly after periods of inactivity or upon waking.

5. Absence of Neurological Symptoms: No signs of myelopathy (spinal cord dysfunction) or radiculopathy (nerve root compression), such as numbness, tingling, or weakness in the legs.

6. Age-Related Factors: Typically seen in middle-aged or older adults, as spondylosis is often associated with the natural aging process of the spine.

7. Exclusion of Other Conditions: Rule out other potential causes of back pain, such as fractures, infections, or inflammatory conditions, through appropriate diagnostic testing and clinical evaluation.

For the ICD code M47.817, which pertains to spondylosis without myelopathy or radiculopathy in the lumbosacral region, the relevant CPT codes that may be applicable for treatment include:

1. CPT 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., hip, knee, or subacromial bursa) with or without ultrasound guidance.

2. CPT 62322 - Injection(s), of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance.

3. CPT 64483 - Injection(s), anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level.

4. CPT 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

5. CPT 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

6. CPT 99213 - Established patient office or other outpatient visit, typically 15 minutes.

These CPT codes are examples of procedures and services that may be used in the management and treatment of conditions associated with the ICD code M47.817. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical scenario.

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