ICD 10 CM M48.53XS | Description & Clinical Information

ICD 10 M48.53XS describes a medical condition characterized by the compression fracture of the spine, resulting from excessive pressure on the vertebrae, leading to the collapse of the front part of the vertebra into a wedge shape, which is caused by various factors such as trauma, osteoporosis, cancer, or other disease processes, and in this particular case, the provider has identified a type of collapsed vertebra in the cervicothoracic or neck and mid-back region that is not specifically named in another code in this category at this encounter for a sequela, which is a condition resulting from the fracture.

Official Description Of M48.53XS

The ICD 10 CM book defines ICD 10 code M48.53XS as:

Collapsed vertebra, not elsewhere classified, cervicothoracic region, sequela of fracture
Parent Code Notes: M48.5

Excludes1: current injury – see Injury of spine, by body region
fatigue fracture of vertebra (M48.4)
pathological fracture of vertebra due to neoplasm (M84.58)
pathological fracture of vertebra due to other diagnosis (M84.68)
pathological fracture of vertebra due to osteoporosis (M80.-)
pathological fracture NOS (M84.4-)
stress fracture of vertebra (M48.4-)
traumatic fracture of vertebra (S12.-, S22.-, S32.-)

Clinical Information

The diagnosis describes by the ICD 10 CM M48.53XS code pertains to the condition known as collapsed vertebra of the cervicothoracic region. This medical issue can cause various symptoms, such as sharp debilitating pain, a stooped posture, difficulty standing erect and walking, and weakness, tingling, and numbness radiating to the extremities.

To arrive at a diagnosis, medical providers will conduct a thorough examination that encompasses the patient’s history and physical examination, along with a range of tests that may include bone density exams, x-rays, magnetic resonance imaging, or computed tomography.

One of the most common treatments for this condition is physical therapy. This therapy aims to reduce pain, improve strength and flexibility, and promote healing. In some cases, orthosis may be necessary to limit the movement of the back and reduce the strain on the affected vertebrae. Rest, medications such as non-steroidal anti-inflammatory drugs, opioid analgesics, and calcitonin for bone pain, are also viable treatment options.

Calcium supplementation is a valuable alternative because it promotes healthy bone growth and prevents further loss of bone mass. This treatment is especially suitable for postmenopausal women.

If the patient’s symptoms do not improve with conservative treatments, surgery may be necessary. In such instances, doctors may recommend the vertebrae be fused or bone cement be injected to restore vertebral height. These are critical medical procedures that require extensive pre-operative and post-operative care.

The recovery time for this condition varies immensely, and the quality of care can significantly impact the outcome. Therefore, treatment must be individualized and based on the patient’s unique medical situation and needs.

Overall, the diagnosis of the collapsed vertebra of the cervicothoracic region is a potentially debilitating condition that requires early diagnosis and treatment. With proper medical care and lifestyle changes, patients with this condition can manage their symptoms and maintain a better overall quality of life.

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