Kissing spine, thoracic region

This code represents a specific form of spinal osteoarthritis where the spinous processes of adjacent vertebrae in the thoracic region are in direct contact, often leading to bone friction and degenerative changes. This condition, also known as Baastrup's disease, can cause localized pain and tenderness.

Use this code when documentation explicitly states "kissing spine" or "Baastrup's disease" affecting the thoracic spine. It is appropriate for patients presenting with symptoms such as localized back pain, tenderness, or stiffness in the thoracic region, and imaging (X-ray, MRI, CT) confirms the close approximation or contact of the spinous processes.

• Ensure the documentation specifies the thoracic region; other spinal regions have different codes.
• Do not confuse with general spondylosis or other forms of spinal degeneration unless kissing spine is specifically identified.
• Consider co-reporting with codes for associated pain (e.g., M54.6 for thoracic pain) if documented.