L5-S1 intervertebral disc. A disc made of a gel-like material (nucleus pulposus) surrounded by a thick fibrous ring (annulus fibrosus) is situated between the vertebral bodies of L5 and S1. This disc provides cushioning and shock-absorbing functions to protect the vertebrae during spinal movements.
The L5 S1 disc in particular is the most fragile and susceptible to protrusion since it often carries more weight than the other lumbar discs. ( (L5 is medical shorthand for the fifth vertebrae in the lumbar, or the lower part of the spine, and S1 denotes the first vertebrae in the sacrum. The L5 S1 disc is sandwiched between these two vertebrae). A protrusion is the most common cause of lower back pain.
What Is an L5 S1 Disc Protrusion? A spinal disk protrusion is often referred to as a herniated or slipped disk and, when it occurs to the L5-S1 disk, it can cause leg and lower back pain, according to Spine-health. The inner portion of a herniated disk leaks out, or protrudes, putting pressure on the nerve root.
They may also be pushed out of their usual position between adjacent vertebrae, producing a bulging or herniated disc. The disc between the fifth lumbar vertebra and the first sacral vertebra is called the L5-S1 disc. Because the curve of the spine changes at this location, more stress is placed on this disc than on other discs in the lower back.
M51. 26 - Other intervertebral disc displacement, lumbar region. ICD-10-CM.
ICD-10-CM Diagnosis Code K42 K42.
Other intervertebral disc displacement, thoracolumbar region The 2022 edition of ICD-10-CM M51. 25 became effective on October 1, 2021.
ICD-10 Code for Intervertebral disc disorders with radiculopathy, lumbar region- M51. 16- Codify by AAPC.
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.
Herniation of the nucleus pulposus (HNP) occurs when the nucleus pulposus (gel-like substance) breaks through the anulus fibrosus (tire-like structure) of an intervertebral disc (spinal shock absorber).
"A bulging disc is like letting air out of a car tire. The disc sags and looks like it is bulging outward. With a herniated disc, the outer covering of the disc has a hole or tear. This causes the nucleus pulposus (jelly-like center of the disc) to leak into the spinal canal."
Disc herniation (termed as intervertebral disc displacement) is a type of spinal disease based on IDD or not, with local pain and/or sciatica due to mechanical compression and autoimmune cascades upon the corresponding nerve roots.
5 – Low Back Pain. ICD-Code M54. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of chronic low back pain.
Lumbar radiculopathy is an inflammation of a nerve root in the lower back, which causes symptoms of pain or irritation in the back and down the legs. This condition usually involves the sciatic nerve and therefore is also called sciatica.
1- subcategory, part of the block M50-M54, Other Dorsopathies.M54.1 Radiculopathy.M54.10 Radiculopathy, site unspecified.M54.11 Radiculopathy, occipito-atlanto-axial region.M54.12 Radiculopathy, cervical region.M54.13 Intervertebral disc disorders with radiculopathy, cervicothoracic region.More items...•
ICD-Code M54. 3 is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Sciatica.
A lumbar discectomy surgery 101 is considered a “decompression” spinal surgery. A discectomy is sometimes called “herniated disc surgery.” If you are one of them who have a lumbar herniated disc (a fractured disc in your lower spine) and your doctor has advised for surgery, possibilities are you will be developing a lumbar discectomy.
When it comes to discectomy surgery, the ruptured portion (nucleus pulposus) that is rubbing against your vertebrae and spine is removed. This means that your orthopedic spine specialist will require ingress to your lower spinal part in the middle of the procedure.
The ICD 10 CM code (M51.16) can also be used to clarify conditions or terms like the addressing of herniation of intervertebral lumbar disc with sciatica, numbness or tingling of the lumbar spine, nucleus pulposus herniation, herniation of core pulposus of the lumbar intervertebral disc, lumbago with sciatica, lumbar disc prolapse with radiculopathy, and so on.
Lumbar disc herniation is a bone rupture of the annulus fibrosis (fibrocartilagenous material) that encompasses the intervertebral disc. This fracture involves removing the disc's central part containing a gelatinous material termed the nucleus pulposus.
In the case of a lumbar herniated disc, a spine chiropractor can help decrease the pain triggered by a herniated disc. Chiropractic treatment techniques for the lumbar herniated disc include spinal manipulation, physical therapy, and muscle-building exercises.
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.
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.