Disc protrusion (also called a bulging disc) is a common back injury that affects intervertebral discs in the spinal column.
ICD-10 code M51. 36 for Other intervertebral disc degeneration, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .
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.
M51. 26 Other intervertebral disc displacement, lumbar region - ICD-10-CM Diagnosis Codes.
Other intervertebral disc displacement, thoracolumbar region The 2022 edition of ICD-10-CM M51. 25 became effective on October 1, 2021.
"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 protrusion is a common form of spinal disc deterioration that can cause neck and back pain. Changes occurring with the regular aging process are responsible for disc deteriorations, although an injury might speed up the degenerative process.
L5-S1 is the lowest level of the disc in the spine and sits at the junction between the lowest lumbar vertebrae and sacrum. This tends to suffer more stress and hence L5-S1 disc bulge is quite common. L5-S1 refers to the disc situated between lumbar bone number 5 and the sacrum.
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).
M17. 11 Unilateral primary osteoarthritis, right knee - ICD-10-CM Diagnosis Codes.
9: Dorsalgia, unspecified.
16: Radiculopathy Lumbar region.
Common injection treatments for L5-S1 include:Lumbar epidural steroid injections. Steroids injected directly into the spinal epidural space can help decrease inflammation and reduce the sensitivity of nerve fibers to pain, generating fewer pain signals. ... Radiofrequency ablation.
The most common indications for L5 S1 fusion include: Low back disc degeneration Slipped disc (spondylolisthesis) Spinal Bone Fracture Recurrent Disc Herniation Pain radiating down leg (Sciatica ) Curvature (Scoliosis) Narrowing of the Canal (Stenosis) Failed Spine Surgery with Instability.
A syndrome in L5-S1 disc herniation with sexual and sphincter dysfunction without pain and muscle weakness was noted. We think that it is crucial for neurosurgeons to early realise that paralysis of the sphincter and sexual dysfunction are possible in patients with lumbar L5-S1 disc disease.
Common Symptoms and Signs Stemming from L5-S1Pain, 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.Weakness in the leg and/or foot muscles and an inability to lift the foot off the floor (foot drop)
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.
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.
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.
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.