Radiculopathy, lumbar region. The 2019 edition of ICD-10-CM M54.16 became effective on October 1, 2018. This is the American ICD-10-CM version of M54.16 - other international versions of ICD-10 M54.16 may differ. ICD-10-CM Diagnosis Code M54.1 ICD-10-CM M54.16 is grouped within Diagnostic Related Group (s)...
M54.16 is a billable ICD code used to specify a diagnosis of radiculopathy, lumbar region. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Radiculopathy refers to a set of conditions in which one or more nerves are affected and do not work properly (a neuropathy).
M51.16 is a billable ICD code used to specify a diagnosis of intervertebral disc disorders with radiculopathy, lumbar region. A 'billable code' is detailed enough to be used to specify a medical diagnosis. The ICD code M51 is used to code Intervertebral disc disorder
The 2021 edition of ICD-10-CM M54.16 became effective on October 1, 2020. This is the American ICD-10-CM version of M54.16 - other international versions of ICD-10 M54.16 may differ. Code annotations containing back-references to M54.16: spondylosis ( M47.-)
16.
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. However, it is less common than pain and numbness. This displays as decreased function in the muscles supplied by the nerve root that is compressed.
M51. 16 - Intervertebral disc disorders with radiculopathy, lumbar region. ICD-10-CM.
Radiculopathy describes a range of symptoms produced by the pinching of a nerve root in the spinal column. The pinched nerve can occur at different areas along the spine (cervical, thoracic or lumbar). Symptoms of radiculopathy vary by location but frequently include pain, weakness, numbness and tingling.
L5-S1 is the exact spot where the lumbar spine ends and the sacral spine begins. The lumbosacral joint is the joint that connects these bones. L5-S1 is composed of the last bone in the low back, called L5, and the triangle-shaped bone beneath, known as 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).
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.
"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."
Displacement describes the nucleus pulposus pushing through the annulus and deforming the disc. A well-localized deformation of the disc is also referred to as a protrusion or herniation. This is differentiated from a “bulging” disc, which describes deformity of the annulus concentrically.
Radiculopathy describes symptoms produced by the pinching of a nerve root in the spinal column. Sciatica is one of the most common types of radiculopathy and refers to pain that originates in your lower back and travels through your buttocks and down the sciatic nerve – the largest single nerve in the body.
Radiculopathy can be defined as the whole complex of symptoms that can arise from nerve root pathology, including anesthesia, paresthesia, hypoesthesia, motor loss and pain. Radicular pain and nerve root pain can be defined as a single symptom (pain) that can arise from one or more spinal nerve roots.
Lumbar Radiculopathy Causes Lumbar radiculopathy may occur when the spinal nerve roots are irritated or compressed by one of many conditions, including lumbar disc herniation, spinal stenosis, osteophyte formation, spondylolithesis, foraminal stenosis, or other degenerative disorders.
The 2022 edition of ICD-10-CM M54.1 became effective on October 1, 2021.
Patients experience pain radiating along a nerve path because of spinal pressure on the nerve root that connects to the nerve path. Disease involving a spinal nerve root (see spinal nerve roots) which may result from compression related to intervertebral disk displacement; spinal cord injuries; spinal diseases; and other conditions.
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M54.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
M54.16 is a billable ICD code used to specify a diagnosis of radiculopathy, lumbar region. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Radiculopathy refers to a set of conditions in which one or more nerves are affected and do not work properly (a neuropathy). The location of the injury is at the level of the nerve root (radix = "root"). This can result in pain (radicular pain), weakness, numbness, or difficulty controlling specific muscles.
M51.16 is a billable ICD code used to specify a diagnosis of intervertebral disc disorders with radiculopathy, lumbar region. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Specialty: Rheumatology. ICD 9 Code: 722. Cervical vertebra with intervertebral disc. Source: Wikipedia.
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.