ICD Code M48.062

ICD code M48.062 is a medical classification used to denote spinal stenosis in the lumbar region that is accompanied by neurogenic claudication. This condition involves a narrowing of the spinal canal in the lower back, which can compress the nerves and lead to symptoms such as pain, numbness, or weakness in the legs, especially during activities like walking or standing.

1. Presence of Lumbar Spinal Stenosis: Confirmed narrowing of the spinal canal in the lumbar region, typically identified through imaging studies such as MRI or CT scans.

2. Neurogenic Claudication Symptoms: - Pain or discomfort in the lower back, buttocks, or legs, often exacerbated by walking or standing and relieved by sitting or bending forward. - Tingling, numbness, or weakness in the legs. - Symptoms may improve with rest or changes in posture.

3. Exclusion of Vascular Claudication: - Rule out vascular causes of claudication, such as peripheral artery disease, through appropriate diagnostic tests like ankle-brachial index (ABI) measurements.

4. Chronicity of Symptoms: - Symptoms should be persistent or recurrent over a period of time, typically several weeks to months, to differentiate from acute conditions.

5. Impact on Daily Activities: - Documented interference with daily activities or quality of life due to the symptoms, necessitating medical evaluation and management.

6. Response to Conservative Treatment: - Consideration of the patient's response to conservative treatments such as physical therapy, medications, or lifestyle modifications, which may help in confirming the diagnosis.

7. Consultation with a Specialist: - Evaluation by a healthcare provider specializing in spinal disorders, such as an orthopedic surgeon or neurologist, to confirm the diagnosis and rule out other potential causes of symptoms.

For the ICD code M48.062, which pertains to spinal stenosis in the lumbar region with neurogenic claudication, the relevant CPT codes that may be applicable for treatment include:

1. 63047 - Laminectomy, facetectomy, and foraminotomy (unilateral or bilateral) with decompression of spinal cord, cauda equina and/or nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; lumbar.

2. 63030 - Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar.

3. 22612 - Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed).

4. 22840 - Posterior non-segmental instrumentation (e.g., Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation).

5. 22842 - Posterior segmental instrumentation (e.g., pedicle fixation, dual rods with multiple hooks and sublaminar wires); lumbar.

6. 22845 - Anterior instrumentation; 2 to 3 vertebral segments.

7. 63056 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (e.g., herniated intervertebral disc), single segment; lumbar.

These CPT codes represent common surgical procedures that may be performed to address the condition associated with ICD code M48.062. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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