M46.06 – Spinal enthesopathy, lumbar region

M46.06 - Spinal enthesopathy in the lumbar region. Learn about this condition's symptoms, causes, and treatments. Find expert insights and guidance.

By Emma Hainsworth on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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M46.06  – Spinal enthesopathy, lumbar region

M46.06 Diagnosis Code: Spinal enthesopathy, lumbar region

The ICD-10 code M46.06 corresponds to the diagnosis of spinal enthesopathy specifically affecting the lumbar region of the spine. Enthesopathy is an inflammation or degeneration at the site where tendons, ligaments, or joint capsules attach to the bone (entheses). This code allows healthcare professionals to identify and classify this specific condition when diagnosing patients accurately.

Clinical Description of M46.06:

  • Spinal enthesopathy, the lumbar region is a localized condition that affects the attachments of tendons, ligaments, or joint capsules in the lumbar spine area.
  • The condition typically involves the entheses of the vertebral bones, sacroiliac joint, or intervertebral discs in the lumbar region.
  • It is often associated with repetitive stress, overuse, trauma, or inflammatory conditions, leading to irritation and inflammation at the entheses.
  • The inflammation and degeneration can result in pain, stiffness, and limited mobility in the lumbar spine.
  • Patients with M46.06 may experience lower back pain, tenderness in the affected area, and difficulty performing certain movements or activities.
  • The severity of symptoms can vary from mild discomfort to significant pain and functional impairment, depending on the underlying cause and individual factors.
  • Diagnosing spinal enthesopathy in the lumbar region requires a thorough medical evaluation, including a detailed medical history, physical examination, and appropriate imaging studies.
  • Differential diagnoses should be considered to rule out other conditions that may present with similar symptoms, such as lumbar disc herniation, lumbar strain, or lumbar facet joint dysfunction.

Is M46.06 Billable?

Yes, the ICD-10 code M46.06 for spinal enthesopathy in the lumbar region is billable. 

Clinical Information

  • Spinal enthesopathy in, lumbar region is characterized by inflammation or degeneration at the attachments of tendons, ligaments, or joint capsules in the lumbar spine.
  • It is often associated with repetitive stress, overuse, trauma, or inflammatory conditions affecting the lumbar region.
  • The condition can cause lower back pain, tenderness, stiffness, and limited mobility in the lumbar spine area.
  • Diagnosis involves a thorough medical evaluation, including medical history, physical examination, and imaging studies, to assess the extent of the enthesopathy and rule out other potential causes of symptoms.
  • Treatment options may include conservative measures such as rest, physical therapy, pain management, lifestyle modifications, and more invasive interventions if necessary.

Synonyms Include:

  • Lumbar enthesopathy
  • Enthesitis of lumbar spine
  • Lumbar spine enthesitis
  • Lumbar enthesitis
  • Enthesopathy of lumbar region

Other ICD-10 Codes Commonly Used for Spinal Enthesopathy

These are a few examples of commonly used ICD-10 codes related to spinal enthesopathy and related conditions: 

  • M46.00 - Spinal enthesopathy, site unspecified
  • M46.01 - Spinal enthesopathy, occipito-atlanto-axial region
  • M46.02 - Spinal enthesopathy, cervical region
  • M46.03 - Spinal enthesopathy, cervicothoracic region
  • M46.04 - Spinal enthesopathy, thoracic region
  • M46.05 - Spinal enthesopathy, thoracolumbar region
  • M46.07 - Spinal enthesopathy, lumbosacral region
  • M46.08 - Spinal enthesopathy, sacral and sacrococcygeal region
  • M46.09 - Spinal enthesopathy, multiple sites in the spine
  • M47.8 - Other spondylosis
  • M53.3 - Sacrococcygeal disorders, not elsewhere classified
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Commonly asked questions

Is spinal enthesopathy in the lumbar region a common condition?

Spinal enthesopathy in the lumbar region is relatively common, especially among individuals who engage in repetitive activities or have underlying inflammatory conditions.

Can spinal enthesopathy be cured completely?

While a complete cure may not always be possible, proper management and treatment can significantly alleviate symptoms and improve the quality of life for individuals with spinal enthesopathy.

What are the conservative treatment options for spinal enthesopathy in the lumbar region?

Conservative treatment options may include rest, physical therapy, pain medication, and lifestyle modifications. These measures aim to reduce inflammation, manage pain, and improve mobility.

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