ICD-10-CM Diagnosis Code S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level. Is failed back surgery syndrome (FBSS) a disability? Chronic pain after spinal surgery is particularly disabling and gives a worse quality of life than other chronic pain conditions [27]. Use of the term Failed back surgery syndrome (FBSS) is well-established and …
ICD-10-CM Diagnosis Code M54.08 Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
ICD-10-CM Diagnosis Code Q96. Q96 Turner's syndrome. Q96.0 Karyotype 45, X. Q96.1 Karyotype 46, X iso (Xq) Q96.2 Karyotype 46, X with abnormal sex chromosome,... Q96.3 Mosaicism, 45, X/46, XX or XY. Q96.4 Mosaicism, 45, X/other cell line (s) with abno... Q96.8 Other variants of Turner's syndrome.
Oct 01, 2021 · M96.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M96.1 became effective on October 1, 2021. This is the American ICD-10-CM version of M96.1 - other international versions of ICD-10 M96.1 may differ.
Failed back syndrome (FBS) is a well-recognized complication of surgery of the lumbar spine. It can result in chronic pain and disability, often with disastrous emotional and financial consequences to the patient. Many patients have traditionally been classified as "spinal cripples" and are consigned to a life of long-term narcotic treatment with little chance of recovery. Despite extensive work in recent years, FBS remains a challenging and costly disorder.
Oaklander and North define the Failed Back Syndrome as a chronic pain patient after one or more surgical procedure to the spine. They delineated these characteristics of the relation between the patient and the surgeon: 1 The patient makes increasing demands on the surgeon for pain relief. The surgeon may feel a strong responsibility to provide a remedy when the surgery has not achieved the desired goals. 2 The patient grows increasingly angry at the failure and may become litigious. 3 There is an escalation of narcotic pain medication which can be habituating or addictive. 4 In the face of expensive conservative treatments which are likely to fail, the surgeon is persuaded to attempt further surgery, even though this is likely to fail as well. 5 The probability of returning to gainful employment decreases with increasing length of disability. 6 The financial incentives to remain disabled may be perceived as outweighing the incentive to recover.
The term "post-laminectomy syndrome" is used by some doctors to indicate the same condition as failed back syndrome. The treatments of post-laminectomy syndrome include physical therapy, microcurrent electrical neuromuscular stimulator, minor nerve blocks, ...
This inflammatory molecule, called tumor necrosis factor-alpha (TNF), is released not only by the herniated or protruding disc, but also in cases of disc tear (annular tear), by facet joints, and in spinal stenosis. In addition to causing pain and inflammation, TNF may also contribute to disc degeneration.
Reports from the surgical literature indicate an infection rate anywhere from 0% to almost 12%.
Factors associated with an increased infection include diabetes mellitus, obesity, malnutrition, smoking, previous infection, rheumatoid arthritis, and immunodeficiency.
Epidural scarring following a laminectomy for disc excision is a common feature when re-operating for recurrent sciatica or radiculopathy. When the scarring is associated with a disc herniation and/or recurrent spinal stenosis, it is relatively common, occurring in more than 60% of cases. For a time, it was theorized that placing a fat graft over the dural could prevent post operative scarring. However, initial enthusiasm has waned in recent years. In an extensive laminectomy involving 2 or more vertebra, post operative scarring is the norm. It is most often seen around the L5 and S1 nerve roots.