Juvenile osteochondrosis of spine, lumbosacral region

This code signifies a developmental disorder affecting the growth plates (epiphyses) of the vertebrae in the lower back and sacrum in children and adolescents. It involves a disturbance in the normal process of bone formation, leading to fragmentation, collapse, or necrosis of the vertebral endplates. This condition is often associated with back pain and spinal deformities in the affected region.

Apply this code when documentation specifies osteochondrosis, Scheuermann's disease, or vertebral epiphysitis localized to the lumbar or sacral spine in a pediatric or adolescent patient. Supporting documentation should clearly indicate the patient's age and the specific spinal region affected.

• Ensure the documentation explicitly states "juvenile" or "adolescent" onset and the lumbosacral region.
• Differentiate from adult degenerative disc disease or other forms of spondylosis.
• Consider sequencing with codes for associated spinal deformities (e.g., kyphosis) if present and documented.