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2025 ICD-10-CM code M99.45

Connective tissue stenosis of neural canal of pelvic region

If applicable, use an external cause code following M99.45 to identify the cause of the condition.

Medical necessity is established by documenting the patient's symptoms, functional limitations, and the impact on their quality of life.The need for specific treatments should be justified based on the severity of the stenosis and its correlation with the patient's symptoms.

Providers diagnose the condition based on patient history, physical examination, and imaging (X-rays, MRI). Treatment includes pain medication, physical therapy, chiropractic care, and massage therapy.

In simple words: A condition where the space around the spinal cord in your lower back/pelvis is narrowed because of extra connective tissue, which can cause pressure on the nerves.

Narrowing of the spinal canal in the pelvic region due to connective tissue overgrowth or thickening.

Example 1: A patient presents with lower back pain and numbness radiating down the leg. Imaging reveals narrowing of the spinal canal in the pelvic region due to ligament thickening., A patient with a history of spinal surgery experiences recurrent pain and weakness in the legs. Diagnosis confirms connective tissue stenosis of the neural canal in the pelvic region., An athlete experiences pain and limited range of motion in the hip and lower back. After examination and imaging, connective tissue stenosis of the neural canal in the pelvic region is diagnosed.

Documentation should include patient history, physical exam findings, imaging results (X-ray, MRI), and response to treatment.

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