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.
Disc herniation, which is the leakage of nucleus pulposus through tears in the wall of the annulus fibrosus, can occur due to degenerative changes and/or trauma. However, traumatic disc herniation is relatively rare.
Discs characterized herein as "herniated" should be coded under 722.0, 722.10, 722.11, or 722.2.
THE TRAUMATIC rupture of a lumbar intervertebral disk with posterior herniation of portions of the disk into the spinal canal has long been recognized as the cause of the clinical syndrome characterized by low back pain and unilateral sciatica.
ICD-10-CM Code for Intervertebral disc disorders with radiculopathy, lumbar region M51. 16.
Other intervertebral disc displacement, thoracolumbar region M51. 25 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. 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."
A single excessive strain or injury may cause a herniated disc. However, disc material degenerates naturally as one ages, and the ligaments that hold it in place begin to weaken. As this degeneration progresses, a relatively minor strain or twisting movement can cause a disc to rupture.
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.
Nerve Injury Removing a herniated disc requires working around the nerves of the spine. During the operation, these nerves may be injured. If this occurs, you may have permanent damage to the nerve involved. This may cause permanent numbness, weakness or pain in the area where the nerve travels in the leg.
36 Other intervertebral disc degeneration, lumbar region.
M51. 26 Other intervertebral disc displacement, lumbar region - ICD-10-CM Diagnosis Codes.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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.
A intervertebral disc disorder is a condition that involves deterioration, herniation, or other dysfunction of an intervertebral disc.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M51.16. Click on any term below to browse the alphabetical index.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code M51.16 and a single ICD9 code, 722.93 is an approximate match for comparison and conversion purposes.