icd 10 code for lumbar disc extrusion

by Angie Klein Published 2 years ago Updated 1 year ago 6 min read

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.

What is the difference between disc extrusion and herniation?

A disc extrusion is a type of severe disc herniation. It happens when the center - or nucleus - of an intervertebral disc escapes from the center of the disc. A disc that is extruded can occur in the neck, mid, or lower back, and can cause severe spinal related pain.

What's the difference between extrusion and protrusion?

A protrusion exists when only a few cartilage rings are torn and there is no actual leakage of the center material; the disc protrusion looks like a "bump". With an extrusion, all the cartilage rings have torn in a small area, allowing the jelly-like material to flow out of the disc.

What is a Foraminal disc extrusion?

Disc extrusion is considered when the intervertebral disc has a broader dome than a neck. Foraminal extension is a rare form of intervertebral disc herniation. The patient's symptoms correspond to the compressed nerve root at its exit foramen level. The commonest level of occurrence in the cervical spine is at C6/7.Nov 18, 2019

What causes lumbar disc extrusion?

A disc extrusion, also known as a disc herniation, usually occurs from degeneration due to a disease like osteoarthritis or the natural aging process. Other causes may include injury, trauma, overexertion, illness or obesity.May 8, 2015

What is L5 S1 disc extrusion?

L5/S1: A very large central and left-sided disc extrusion occupies 80% of the cross-sectional area of the spinal canal causing severe compression of the left, moderate compression of the right S1 root and severe compression of the lower sacral nerve roots within the thecal sac.Jun 17, 2018

What is considered a large disc extrusion?

Large central/right paracentral disc extrusion, measuring 14 mm transverse in size and extending caudally by 2.9 cm. This causes severe central canal and right lateral recess stenosis with compression of the descending right L5 and S1 nerve roots. The disc extrusion contacts the descending left L5 nerve root.Sep 2, 2016

What is disc protrusion and extrusion?

Disc extrusion is a type of intervertebral disc herniation and is distinguished from a disc protrusion in that it: in at least one plane, has a broader dome (B) than a neck (A)Apr 24, 2022

What causes L4 and L5 disc problems?

External trauma from falls or motor vehicle accidents may cause facet joint dislocation, fracture, and/or damage to the cauda equina at this level. Rarely, tumors and infections may affect the L4-L5 vertebrae and spinal segment.

What is a Paracentral disc extrusion?

Central: When the disc extrudes into in the spinal cord. Subarticular (Lateral Recess or Paracentral): When the disc extrudes between the spinal cord and the foramen (the space through which the nerves exit the spinal canal). Foraminal (Lateral): Disc extrusion into the foramen.

Is disc extrusion serious?

If an extruded disc is left untreated, or is severe, it may become a sequestrated disc. This is when material from the disc ends up in the spinal canal. This can cause severe nerve pain in some areas and numbness in others. Extruded discs can also lead to a serious complication called cauda equina syndrome.

Can you work with a disc extrusion?

With herniated discs, you would not be able to perform a variety of job tasks. You can't work in construction, manufacturing, or warehouse jobs because they require regular reaching, lifting, and carrying. Your limited mobility and pain would make those activities impossible.

Does disc extrusion require surgery?

Disc extrusions have been safely treated with surgery for years. The most common surgery used is spinal fusion. With spinal fusion, the goal is to remove the herniated part of the disc.

What is the ICD code for lumbar disc displacement?

Code is only used for patients 15 years old or older. M51.26 is a billable ICD code used to specify a diagnosis of other intervertebral disc displacement, lumbar region.

What is a slipped disc?

Spinal disc herniation, also known as a slipped disc, is a medical condition affecting the spine in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings. Disc herniation is usually due to age-related degeneration of the anulus fibrosus, although trauma, lifting injuries, or straining have been implicated. Tears are almost always postero-lateral in nature owing to the presence of the posterior longitudinal ligament in the spinal canal. This tear in the disc ring may result in the release of inflammatory chemical mediators, which may directly cause severe pain, even in the absence of nerve root compression.

Can a tear in the disc ring cause pain?

This tear in the disc ring may result in the release of inflammatory chemical mediators, which may directly cause severe pain, even in the absence of nerve root compression. A spinal disc herniation demonstrated via MRI.

What is the code for cervical pain?

One more rule to keep in mind is that the symptoms of back or neck pain are included with some of these codes. Don’t code cervicalgia (M54.2) along with cervical disc disorders (M50-), and don’t code low back pain (M54.5) along with lumbar disc displacement (M51.2-).

What is the T12-L1 code?

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.

What character is used for disc disorders?

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.

Can a spinal disc be coded?

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.

Is sciatica a code for lumbar radiculopathy?

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.

What is the ICd 10 code for lumbar disc degeneration?

M51.36 is a billable diagnosis code used to specify a medical diagnosis of other intervertebral disc degeneration, lumbar region. The code M51.36 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code M51.36 might also be used to specify conditions or terms like annular tear of lumbar disc, bone spur of vertebra, degeneration of lumbar intervertebral disc, degeneration of lumbar intervertebral disc, degeneration of lumbar intervertebral disc and osteophyte of lumbar vertebra , degeneration of lumbar intervertebral disc without prolapse, etc.#N#The code is commonly used in orthopedics medical specialties to specify clinical concepts such as thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders.

How many discs are in the spine?

Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include

Open Approach

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Percutaneous Approach

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

Percutaneous Endoscopic Approach

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

What is the ICd 10 code for lumbar disc dislocation?

S33.141D is a valid billable ICD-10 diagnosis code for Dislocation of L4/L5 lumbar vertebra, subsequent encounter . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .

Is S33.141D a POA?

S33.141D is exempt from POA reporting ( Present On Admission).