ICD Code M51.35

ICD code M51.35 is used to identify a medical condition known as "Other intervertebral disc degeneration, thoracolumbar region." This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, M51.35 refers to the degeneration of intervertebral discs located in the thoracolumbar region of the spine, which is the area where the thoracic spine (mid-back) meets the lumbar spine (lower back). This condition can lead to symptoms such as back pain, stiffness, and reduced mobility, and it may require medical intervention ranging from physical therapy to surgical procedures, depending on the severity. Proper coding of this condition is crucial for accurate medical billing and ensuring that healthcare providers receive appropriate reimbursement for their services.

When to use the ICD code M5135 for Other intervertebral disc degeneration, thoracolumbar region:

1. Patient History:

- Documented history of chronic back pain or discomfort in the thoracolumbar region.

- Previous diagnoses of intervertebral disc degeneration or related spinal conditions.

2. Clinical Symptoms:

- Persistent pain in the lower back that may radiate to the legs.

- Stiffness or reduced range of motion in the thoracolumbar area.

- Numbness or tingling sensations in the lower extremities.

3. Physical Examination Findings:

- Tenderness upon palpation of the thoracolumbar spine.

- Positive straight leg raise test indicating nerve root involvement.

- Muscle weakness in the lower extremities during neurological examination.

4. Imaging Studies:

- MRI or CT scans showing degeneration of intervertebral discs in the thoracolumbar region.

- Evidence of disc bulging or herniation affecting adjacent structures.

5. Exclusion of Other Conditions:

- Ruling out other potential causes of back pain, such as fractures, tumors, or infections.

- Confirmation that symptoms are not attributable to inflammatory or autoimmune disorders.

6. Functional Impact:

- Documentation of how the condition affects daily activities or quality of life.

- Evidence of limitations in physical function or occupational performance due to the condition.

7. Treatment History:

- Previous conservative treatment measures (e.g., physical therapy, medications) that have been ineffective.

- Consideration of surgical options if conservative management fails.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to apply the ICD code M5135 in their documentation and billing processes.

For the ICD code M51.35, which pertains to other intervertebral disc degeneration in the thoracolumbar region, the relevant CPT codes that may be applicable for treatment include:

1. CPT 22533 - Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar.

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

3. CPT 22853 - Insertion of interbody biomechanical device(s) (e.g., synthetic cage, mesh) with integral anterior instrumentation for device anchoring (e.g., screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace.

4. CPT 63047 - Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (e.g., spinal or lateral recess stenosis)), single vertebral segment; lumbar.

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

These CPT codes are commonly associated with surgical interventions for conditions related to intervertebral disc degeneration in the thoracolumbar region. It is important for healthcare providers to verify the specific procedures performed and ensure accurate coding based on the services rendered.

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