icd 10 cm code for disc extrusion at l5-s1

by Maci Quitzon 4 min read

Other intervertebral disc displacement, lumbar region
M51. 26 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M51. 26 became effective on October 1, 2021.

Full Answer

What is the ICD 10 code for traumatic rupture of lumbar disc?

Traumatic rupture of lumbar intervertebral disc, init encntr; Traumatic lumbar disc rupture; Traumatic rupture of lumbar intervertebral disc ICD-10-CM Diagnosis Code M51.26 [convert to ICD-9-CM] Other intervertebral disc displacement, lumbar region

What is the correct ICD-10 code for disc disorders?

Selecting the correct ICD-10 code for disc disorders can take a little bit of research. There are many options found in the M50 and M51 categories, which are: M51- Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders The fifth character provides detail about the anatomical location within the spinal region.

What is the ICD 10 code for Lumbosacral disc displacement?

2018/2019 ICD-10-CM Diagnosis Code M51.27. Other intervertebral disc displacement, lumbosacral region. 2016 2017 2018 2019 Billable/Specific Code. M51.27 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for lumbar intervertebral disc?

Prolapsed lumbar intervertebral disc; ICD-10-CM M51.26 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 551 Medical back problems with mcc; 552 Medical back problems without mcc; Convert M51.26 to ICD-9-CM. Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change

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What is L5 S1 disc extrusion?

L5/S1: A very large central and left-sided disc extrusion occupies 80% of the cross-sectional area of the spinal canal causing severe compression of the left, moderate compression of the right S1 root and severe compression of the lower sacral nerve roots within the thecal sac.

Is a disc extrusion a ruptured disc?

Disc extrusion occurs when the outer wall of an intervertebral disc tears, causing the inner disc material to seep into the spinal canal. Symptoms of a disc extrusion may vary depending on the location, severity and nature of the extruded disc.

What is lumbosacral disc extrusion?

A disc extrusion is a type of severe disc herniation. It happens when the center - or nucleus - of an intervertebral disc escapes from the center of the disc. A disc that is extruded can occur in the neck, mid, or lower back, and can cause severe spinal related pain.

What is L4 L5 extrusion?

L4-L5 Slip-Disc (Slipped Disc) AN L4-L5 slip disc (herniated or bulged) can impinge (compress) the thecal sac (spinal cord fibers) and spinal nerves. The slightest amount of compression or impingement on a nerve or spinal cord fibers is significant. Nerve compression is significant because it causes nerve degeneration.

What is the difference between a disc protrusion and extrusion?

A protrusion exists when only a few cartilage rings are torn and there is no actual leakage of the center material; the disc protrusion looks like a "bump". With an extrusion, all the cartilage rings have torn in a small area, allowing the jelly-like material to flow out of the disc.

What is disk extrusion?

Commonly known as herniated discs, disc extrusions are caused by a weakened disc wall, or annulus fibrosus, rupturing due to age or injury. This outer wall is what keeps the soft, jelly-like center of the disc contained, creating a type of cushion for the vertebrae to bend and move freely.

What is protrusion and extrusion?

Protrusion - Extrusion. Protrusion indicates that the distance between the edges of the disc herniation is less than the distance between the edges of the base. Extrusion is present when the distance between the edges of the disc material is greater than the distance at the base.

Where is L5-S1 in the spine?

The L5-S1 spinal motion segment, also called the lumbosacral joint, is the transition region between the lumbar spine and sacral spine in the lower back. In this region, the curvature of the spine changes from lumbar lordosis (forward curve) to sacral kyphosis (backward curve).

Where is L4-L5 and S1 located?

The L4-L5 disc in the low back is between the L4 vertebrae and L5 vertebrae which make up the L4-L5 spinal segment. The L5-S1 disc at the bottom of the spine lies between the L5 vertebra and the first bony segment at the top of the sacrum, which is sacral segment 1 (or S1).

What is Foraminal disc extrusion?

Disc extrusion is considered when the intervertebral disc has a broader dome than a neck. Foraminal extension is a rare form of intervertebral disc herniation. The patient's symptoms correspond to the compressed nerve root at its exit foramen level. The commonest level of occurrence in the cervical spine is at C6/7.

Where are L4 and L5 vertebrae?

The L4 and L5 are the two lowest vertebrae of the lumbar spine. Together with the intervertebral disc, joints, nerves, and soft tissues, the L4-L5 spinal motion segment provides a variety of functions, including supporting the upper body and allowing trunk motion in multiple directions.

What is considered a large disc extrusion?

Large central/right paracentral disc extrusion, measuring 14 mm transverse in size and extending caudally by 2.9 cm. This causes severe central canal and right lateral recess stenosis with compression of the descending right L5 and S1 nerve roots. The disc extrusion contacts the descending left L5 nerve root.

Will extruded disc heal?

With proper treatment, extruded discs typically heal without surgery. Discs even have the ability to reabsorb the extruded material with time.

Can disc extrusion heal without surgery?

When the centre or nucleus of a disc pushes out and even passes through the wall of the disc, this is what we refer to as a herniated disc. The good news is that the vast majority of herniated discs can be treated without surgery using manual therapy and exercise or with IDD Therapy disc treatment.

Does an extruded disc need surgery?

When & How to Seek Medical Care. Fortunately, the majority of herniated discs do not require surgery. With time, the symptoms of sciatica/radiculopathy improve in approximately 9 out of 10 people. The time to improve varies, ranging from a few days to a few weeks.

Does disc extrusion require surgery?

Microdiscectomy is the surgical method used to treat extrusions and sequestrations. It is actually more effective for treating leg pain (also known as radiculopathy) than lower back pain. It can be performed on an out-patient basis and requires general anesthesia.

What is the T12-L1 code?

Though it is not specifically mentioned, “thoracolumbar” likely only includes T12-L1, and “lumbosacral” probably only refers to the L5-S1 interspace. There is a strange rule for cervical disc disorders indicating that you should code to the most superior level of the disorder.

Is sciatica a code for lumbar radiculopathy?

It is already included in the code. Likewise, don’t code sciatica (M54.3-) if you code for lumbar disc with radiculopathy. It would be redundant. On a side note, lumbar radiculopathy (M54.16) might be used if pain is not yet known to be due a disc, but it radiates from the lumbar spine.

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