Spinal enthesopathy, lumbar region

This code signifies inflammation or degeneration at the insertion points of ligaments, tendons, or joint capsules into bone within the lumbar spine. It represents a localized inflammatory process affecting the entheses in the lower back region.

Apply this code when documentation specifies enthesopathy affecting the lumbar spine, often presenting with localized pain, tenderness, and stiffness. Supporting documentation should clearly indicate the anatomical region (lumbar) and the nature of the condition as enthesopathy, rather than a general spinal disorder.

• Ensure documentation explicitly states "enthesopathy" and specifies the "lumbar region" to avoid coding non-specific spinal pain.
• Differentiate from other lumbar spine conditions like spondylosis (M47.-) or disc disorders (M51.-) unless enthesopathy is also clearly documented.
• Consider an additional code for any associated systemic inflammatory arthropathy, if applicable and documented.