Pathophysiology, diagnosis, and treatment of discogenic low back pain. World J Orthop ... with surgical spinal fusion for the treatment of single-level degenerative disc disease: a meta-analysis of 5-year outcomes from randomized controlled trials.
What is degenerative disc disease? ... Arthritis in the low back has similar symptoms and can cause pain in the back and sometimes into the buttocks. Sometimes the pain can radiate into the thighs, and if it does then it could indicate involvement of the nerves. ... The guidelines for symptoms of tingling, numbness and weakness are the same in ...
Lumbar disc disease refers to a collection of degenerative disorders that can lead to low back pain as people age. It is also known as lumbar spondylosis. There are three main processes that make up lumbar disc disease: Internal disc disruption; Degenerative disc disease; Segmental instability
Spinal disc displacement most often occurs in the lumbar spine or lower back. Symptoms of lumbar disc displacement can include: sharp pain in the lower back ; leg pain and weakness; extreme pain in the hips or buttocks; numbness from the buttocks down to the foot or any portion of that area; and foot drop, which is “the inability to lift the ...
M51. 36 - Other intervertebral disc degeneration, lumbar region. ICD-10-CM.
According to Coding Clinic: “Assign code M16. 0—Bilateral primary osteoarthritis of hip for degenerative changes of hips”. Coding Clinic's rationale is, “ICD-10- CM's Alphabetic Index under “Degeneration, joint disease” instructs “see Osteoarthritis.”
How is degenerative disc disease diagnosed? A diagnosis is based on a medical history and a physical examination, as well as the symptoms and the circumstances where the pain started. Magnetic resonance imaging can show damage to discs, but it alone cannot confirm degenerative disc disease.
M51. 16 - Intervertebral disc disorders with radiculopathy, lumbar region | ICD-10-CM.
722.4 is the correct code for degenerative disease of the cervical intervertebral disc. 722.51 is the correct diagnosis code for thoracic degenerative disc disease. 722.52 is the accurate diagnosis code for DDD of the lumbar or lumbosacral intervertebral disc.
ICD-10-CM Code for Spondylosis without myelopathy or radiculopathy, lumbar region M47. 816.
Lumbar disk disease may occur when a disc in the low back area of the spine bulges or herniates from between the bony area of the spine. Lumbar disk disease causes lower back pain and leg pain and weakness that is made worse by movement and activity.
However, degenerative disc disease and osteoarthritis are different conditions and can occur separately: one can have degenerative discs without any facet osteoarthritis; or one can have facet osteoarthritis without degenerative discs.
The L4-L5 disc is at a high risk of degeneration. This risk may be due to increased loads at the L4-L5 motion segment and decreased movement in the segments below this level. A change in disc height due to degeneration may affect the lordosis of the lumbar spine.
36 Other intervertebral disc degeneration, lumbar region.
Other intervertebral disc disorders, lumbar region The 2022 edition of ICD-10-CM M51. 86 became effective on October 1, 2021.
Lumbosacral radiculopathy is a term used to describe a pain syndrome caused by compression or irritation of nerve roots in the lower back. It can be caused by lumbar disc herniation, degeneration of the spinal vertebra, and narrowing of the foramen from which the nerves exit the spinal canal.
Only use the fourth character “9” for unspecified disc disorders if the documentation does not indicate anything more than the presence of a disc problem. But beware, payors are expected to ask for clarification if unspecified or “NOS” codes are used.
9 = unspecified disc disorder. The fifth character provides detail about the anatomical location within the spinal region. A basic knowledge of spinal anatomy should make fifth-character selection easy, but only if it is documented properly. This includes transitionary regions.
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.
These spinal disc codes appear to be a bit complex, but with some study and evaluation, the logic used to create them becomes clear. The provider can use the codes to guide proper documentation and the coder then can select the right codes with confidence.
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.