Radiculopathy, lumbar region 1 M54.16 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2019 edition of ICD-10-CM M54.16 became effective on October 1, 2018. 3 This is the American ICD-10-CM version of M54.16 - other international versions of ICD-10 M54.16 may differ.
We are debating in our office what the correct ICD-10 dx code would be for Facet Arthropathy, lumbosacral, chronic. Some say M46.97 and others say M47.817.
Unspecified inflammatory spondylopathy, lumbar region. M46.96 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M46.96 became effective on October 1, 2020.
M12.9 should be the code for this, ask the physician for specificity of the patient condition whether it's neuropathic (Charcot), gouty, enteropathic, crystal induced, infectious, inflammatory (arthritis) etc.. I think I would use M12.88 with code title M12.88 other specific arthropathies, not elsewhere classified, other specified sites.
A. If the documentation is facet arthropathy the index must be followed and the correct code assignment will be M46. 96 Unspecified inflammatory spondylopathy, lumbar region.
M47. 26 - Other spondylosis with radiculopathy, lumbar region. ICD-10-CM.
There is, unfortunately, still no ICD-10 code for facet syndrome. But, M53. 8- other specified dorsopathiescan be used just like the old ICD-9 code. It is the "other" code, which means it can be used for a specified condition like facet syndrome.
Radiculopathy, lumbar region M54. 16 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 M54. 16 became effective on October 1, 2021.
When radiculopathy occurs in the lower back, it is known as lumbar radiculopathy, also referred to as sciatica because nerve roots that make up the sciatic nerve are often involved. The lower back is the area most frequently affected by radiculopathy.
Radiculopathy, site unspecified M54. 10 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 M54. 10 became effective on October 1, 2021.
Lumbar facet arthropathy, also called facet joint arthritis or facet joint syndrome, refers to lower back pain caused by inflammation of the facet joints that connect one vertebra to another in the spine and the cartilage that lines them.
Spondylosis (aka Facet Pain or Facet Disease) is often used interchangeably with osteoarthritis and degenerative joint disease, but they are in fact distinct conditions (which may occur together) with different treatment protocols. Recognizing this is crucial.
If a herniated disc from spondylosis causes a pinched nerve, pain may shoot into a limb. For example, a large disc herniation in the lumbar spine can cause nerve compression and cause pain that originates in the low back and then radiates into the legs. This is called radiculopathy.
4: Lumbago with sciatica.
Lumbar radiculopathy (also known as “sciatica”) is term used to describe radiating leg pain, numbness, or weakness caused by inflammation or pinching of a spinal nerve in the lower back. Lumbar radiculopathy can result from a herniated disc, degenerative disc disease, or stenosis (narrowing) of the lumbar spine.
9: Dorsalgia, unspecified.