ICD Code M48.54XS

ICD code M4854XS is used to describe a medical condition involving a collapsed vertebra in the thoracic region, which is the middle part of the spine. This code specifically indicates that the collapse is a sequela, meaning it is a condition that is a result of a previous fracture. The term "not elsewhere classified" suggests that this particular condition does not fit into other more specific categories within the ICD coding system. This code is crucial for healthcare providers to accurately document and communicate the patient's condition for treatment planning and billing purposes.

When to use the ICD code M4854XS:

1. History of Fracture: The patient has a documented history of a fracture in the thoracic region that has led to subsequent complications.

2. Collapsed Vertebra: The patient presents with a collapsed vertebra in the thoracic region, confirmed through imaging studies such as X-rays or MRI.

3. Sequela: The condition is identified as a sequela, indicating that it is a complication or condition that arises as a result of the previous fracture.

4. Symptoms: The patient exhibits symptoms such as:

- Persistent back pain localized to the thoracic region.

- Neurological symptoms, such as numbness or weakness in the extremities, if spinal cord involvement is suspected.

- Limited mobility or difficulty in performing daily activities due to pain or instability in the thoracic spine.

5. Clinical Evaluation: A thorough clinical evaluation has been conducted, confirming that the collapsed vertebra is not classified under other specific conditions or categories.

6. Treatment Plan: The treatment plan includes interventions specifically addressing the sequela of the thoracic vertebra collapse, such as physical therapy, pain management, or surgical options if indicated.

7. Follow-Up: There is a need for ongoing monitoring and follow-up to assess the progression of the condition and the effectiveness of the treatment plan.

For the ICD code M4854XS, the relevant CPT codes that may be applicable include:

1. 22510 - Percutaneous vertebroplasty (bone biopsy included when performed), one vertebral body, unilateral or bilateral injection; thoracic.

2. 22511 - Percutaneous vertebroplasty (bone biopsy included when performed), one vertebral body, unilateral or bilateral injection; lumbar.

3. 22513 - Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), one vertebral body, unilateral or bilateral cannulation (e.g., kyphoplasty); thoracic.

4. 22514 - Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), one vertebral body, unilateral or bilateral cannulation (e.g., kyphoplasty); lumbar.

5. 22899 - Unlisted procedure, spine (used when a specific procedure does not have a designated CPT code).

These CPT codes are typically used for procedures related to the treatment of conditions associated with a collapsed vertebra in the thoracic region. It's important for healthcare providers to verify the most appropriate CPT code based on the specific procedure performed and the clinical scenario.

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