M47.26 – Other Spondylosis With Radiculopathy, Lumbar Region

In this comprehensive guide, learn about the diagnosis, billability, clinical info, and more for M47.26 - Other Spondylosis With Radiculopathy, Lumbar Region.

By Harriet Murray on Feb 29, 2024.

Fact Checked by RJ Gumban.

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M47.26 – Other Spondylosis With Radiculopathy, Lumbar Region

M47.26 Diagnosis Code: Other Spondylosis With Radiculopathy, Lumbar Region

  • M47.26 is an ICD-10-CM diagnosis code representing other spondylosis with radiculopathy in the lumbar region.
  • It specifically refers to degenerative changes in the spine with associated nerve root compression or irritation in the lower back.
  • This code is used to document lumbar radiculopathy caused by spondylosis, which is a general term for age-related changes in the spine.
  • The condition involves the degeneration of spinal discs, the formation of bone spurs, and the narrowing of the spinal canal, resulting in nerve compression.
  • The symptoms of M47.26 may include lower back pain, radiating pain down the leg(s), numbness, tingling, and muscle weakness.
  • Diagnosis of this condition requires a comprehensive evaluation, including medical history, physical examination, and possibly imaging studies such as X-rays, MRI, or CT scans.
  • Proper documentation and coding of M47.26 are essential for accurate medical records, appropriate treatment planning, and billing purposes.

Is M47.26 Billable?

Yes, M47.26 is a billable diagnosis code. Healthcare providers can use this code to justify the medical necessity and reimbursement for services related to other spondylosis with radiculopathy in the lumbar region. However, ensuring that the documentation supports the diagnosis and that the services provided align with the identified condition to bill using this code accurately is crucial.

Clinical Information

  • Other spondylosis with radiculopathy, lumbar region, involves the degenerative changes in the lumbar spine (lower back) and the accompanying nerve root compression or irritation.
  • The condition is often caused by age-related wear and tear on the spine, resulting in the degeneration of intervertebral discs, osteophyte formation, and spinal canal stenosis.
  • Symptoms may include lower back pain, radiating leg pain, numbness, tingling, muscle weakness, and diminished reflexes.
  • Diagnostic evaluations for M47.26 may include medical history assessment, physical examination, neurological examination, and imaging studies such as X-rays, MRI, or CT scans.
  • Treatment options may include conservative measures like physical therapy, pain management, and medications, or surgical interventions may be considered in severe cases.

Synonyms Include

  • Lumbar spondylosis with radiculopathy
  • Spondylosis of the lumbar region with radiculopathy
  • Degenerative lumbar spondylosis with radiculopathy
  • Lumbosacral spondylosis with radiculopathy
  • Lumbar spinal stenosis with radiculopathy
  • Spondylosis with lumbosacral radiculopathy
  • Lumbar foraminal stenosis with radiculopathy

Other ICD-10 Codes Commonly Used for Lumbar Pain

  • M54.5 - Low back pain
  • M54.16 - Radiculopathy, lumbar region
  • M54.14 - Radiculopathy, thoracic region
  • M54.17 - Radiculopathy, lumbosacral region
  • M54.15 - Radiculopathy, sacral and sacrococcygeal region
  • M48.06 - Spinal stenosis, lumbar region
  • M48.07 - Spinal stenosis, lumbosacral region
  • M54.30 - Sciatica, unspecified side
  • M54.31 - Sciatica, right side
  • M54.32 - Sciatica, left side
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Commonly asked questions

Can spondylosis with radiculopathy in the lumbar region be prevented?

While it may not be possible to completely prevent spondylosis, lifestyle modifications such as maintaining good posture, regular exercise, weight management, and avoiding excessive strain on the spine can help reduce the risk and progression of spondylosis-related radiculopathy.

What are the treatment options for M47.26?

Treatment for M47.26 typically involves a combination of non-surgical approaches such as physical therapy, pain management techniques, anti-inflammatory medications, and assistive devices. In some cases, surgical interventions may be considered if conservative measures do not provide sufficient relief or if there is severe nerve compression.

How long does it take to recover from spondylosis with radiculopathy in the lumbar region?

The recovery time for spondylosis with radiculopathy in the lumbar region can vary depending on the severity of the condition, the individual's overall health, and the chosen treatment approach. Mild cases may improve with conservative management within a few weeks to months, while more severe cases or those requiring surgery may have a more extended recovery period.

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