Injury of nerve root of lumbar spine, initial encounter. 2016 2017 2018 2019 Billable/Specific Code. S34.21XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S34.21XA became effective on October 1, 2018.
S34.21 is a non-billable ICD-10 code for Injury of nerve root of lumbar spine. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
The L5 refers to the fifth lumbar vertebra and the S1 indicates the first sacral vertebra. The lumbar spine is the portion of the spine that extends through the lower back, while the sacral spine is the portion of the spine that connects to the pelvis and forms the tailbone.
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.
Compression or inflammation of the L5 and/or S1 spinal nerve root may cause radiculopathy symptoms or sciatica, characterized by: Pain, generally felt as a sharp, shooting, and/or searing feeling in the buttock, thigh, leg, foot, and/or toes. Numbness in the foot and/or toes.
The lumbar nerve roots exit beneath the corresponding vertebral pedicle through the respective foramen. For example, the L5 nerve root exits beneath the L5 vertebral pedicle through the L5/S1 foramen.
Nerve roots split from the cord and travel between the vertebrae into various areas of your body. When these nerve roots become pinched or damaged, the resulting symptoms are called radiculopathy.
Nerve root compression that is severe enough to cause weakness in the arms or legs requires prompt diagnosis and surgical treatment because compression leads to death of the nerve cells and can permanently affect the function of the sensory and motor nerves downstream from the point of compression.
The S1 nerve root can be found in the lateral recess of the sacral epidural space on its way to the sacral neuroforamen. It passes medial and inferior to a bony structure equivalent to the pedicle of the lumbar vertebra.
L5 radiculopathy is usually associated with numbness down the side of the leg and into the top of the foot. S1 radiculopathy typically results in numbness down the back of the leg into the outside or bottom of the foot. Weakness is another symptom of nerve root compression.
Definition/Description. Lumbosacral radiculopathy is a disorder that causes pain in the lower back and hip which radiates down the back of the thigh into the leg. This damage is caused by compression of the nerve roots which exit the spine, levels L1- S4.
(Numbness for the S1 nerve runs on the outside of the foot. The S1 nerve root also supplies innervation for the ankle jerk (tap on the achilles tendon and the foot goes down), and a loss of this reflex indicates S1 impingement, although it does not create loss of function.
Treating Nerve Root PainTaking non-steroidal anti-inflammatory drugs (NSAIDs)Interventional techniques such as nerve blocks (spinal injections)Epidural injections in the lumbar and cervical spine.Nerve killing procedures such as radiofrequency ablation.Engaging in exercise and physical therapy.Activity modification.
17 Dec Pinched Nerve – Meaning, Causes and Treatment The compression of a spinal nerve root due to a herniated disc is one of the most common examples of a pinched nerve. A pinched nerve is also referred to as nerve compression, nerve impingement, nerve root encroachment, radiculopathy and/or sciatica.
A pinched nerve is a compressed nerve. Surrounding tissues that press on nerve roots can cause pain, numbness and tingling in different areas of your body.
For example, the nerve root at the L4-L5 level is called the L4 nerve root. The nerve root is named this way because as it exits the spine it passes UNDER the L4 pedicle (a piece of bone that is part of the spinal segment). See more about Lumbar Radiculopathy.
Nonetheless, another study noted that L5/S1 herniation can lead to "bowel dysfunction."
L5 NERVE ROOT DAMAGE This pain can come in the form of numbness, tingling, weakness and shooting and is commonly felt in the big toe, inside of the foot, top of the foot and ankle. Radiculopathy of the L5 nerve may also cause loss of coordination in the foot and toes.
Medication. Over-the-counter (OTC) medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) are usually tried first for pain stemming from L5-S1. For more severe pain, prescription medication, such as opioids, tramadol, and/or corticosteroids may be used.
A herniated L5-S1 disc can press and impinge nerves and the spinal cord. This compression can lead to discomfort, aches and pains in the back, buttocks, hips, thighs, leg feet, or toes. It may also cause numbness, tingling and weakness in thighs, legs, knees, ankles, feet, or toes.
The first component of the term “L5 to S1 annular tear ” is “L5 to S1.” These letters and numbers indicate the location of the damaged disc. The L5 refers to the fifth lumbar vertebra and the S1 indicates the first sacral vertebra. The lumbar spine is the portion of the spine that extends through the lower back, while the sacral spine is the portion of the spine that connects to the pelvis and forms the tailbone. Thus, the deteriorated disc is located between these two vertebrae in the lower back that connect the lumbar spine to the sacral spine.
If conservative treatments prove to be ineffective for you, your doctor may recommend surgery to treat your L5 to S1 annular tear. If this is your situation, contact USA Spine Care to learn how one of our minimally invasive procedures can help you find relief from neck and back pain without the need for traditional open spine surgery.
We offer minimally invasive decompression and stabilization surgery that can either remove a small portion of the damaged disc or entirely replace the disc with an artificial one, depending on the severity of your condition. Many moderate spine conditions can be treated with our decompression surgery. However, some more seriously damaged spines may require a stabilization surgery.