Spinal enthesopathy

This code represents a non-inflammatory disorder affecting the entheses (sites where tendons, ligaments, or joint capsules attach to bone) of the spine. It typically involves degenerative changes, calcification, or ossification at these spinal attachment points, leading to pain and stiffness. This condition is often associated with spondyloarthropathies or age-related degenerative processes.

Use this code when documentation specifies spinal enthesopathy, enthesitis of the spine (without explicit inflammatory cause), or degenerative changes at spinal ligamentous or tendinous insertions. It is appropriate for patients presenting with localized spinal pain attributed to these attachment site abnormalities. Supporting documentation should clearly indicate the spinal location and the nature of the entheseal involvement.

• Differentiate from inflammatory enthesitis, which would typically be coded under specific spondyloarthropathies (e.g., ankylosing spondylitis).
• Ensure the documentation specifies "spinal" involvement; enthesopathy in other anatomical sites would use different codes.
• Consider sequencing with codes for underlying conditions like osteoarthritis or spondylosis if documented as contributing factors.