Lumbosacral spondylosis without myelopathy

This code signifies degenerative changes in the lumbar and sacral spine, specifically affecting the vertebral bodies, intervertebral discs, and facet joints, without evidence of spinal cord compression or neurological deficits. It represents age-related wear and tear leading to conditions like osteophytes and disc space narrowing in the lower back.

Apply this code when documentation indicates spondylosis in the lumbosacral region, characterized by chronic low back pain, stiffness, or radiographic findings of degeneration, but explicitly states the absence of myelopathy. Supporting documentation includes imaging reports (X-ray, MRI) detailing degenerative changes and physician notes confirming no neurological compromise related to spinal cord compression.

• Ensure the documentation explicitly rules out myelopathy; if myelopathy is present, a different code is required.
• Do not use this code for spondylosis in other spinal regions (e.g., cervical, thoracic).
• Consider adding codes for associated symptoms like low back pain (e.g., 724.2) if documented.