icd 10 code for lumbar multi-level disc herniations

by Prof. Heidi Hammes 4 min read

Other intervertebral disc displacement, lumbar region
The 2022 edition of ICD-10-CM M51. 26 became effective on October 1, 2021. This is the American ICD-10-CM version of M51. 26 - other international versions of ICD-10 M51.

Full Answer

How are lumbar disc herniations diagnosed?

The principal signs and symptoms include:

  • Radicular pain
  • Low back pain
  • Sensory abnormalities at the lumbosacral nerve roots distribution
  • Weakness at the lumbosacral nerve roots distribution
  • Limited trunk flexion
  • Pain exacerbation with straining, coughing, and sneezing
  • Pain intensified in a seated position, as the pressure applied to the nerve root is increased by approximately 40%

What is the treatment for lumbar disc herniation?

  • Physical therapy, exercise and gentle stretching to help relieve pressure on the nerve root
  • Ice and heat therapy for pain relief
  • Manipulation (such as chiropractic manipulation)
  • Non-steroidal anti-inflammatory drugs ( NSAIDs) such as ibuprofen, naproxen or COX-2 inhibitors for pain relief
  • Narcotic pain medications for pain relief

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What is the ICD - 10 code for internal hernia?

Unilateral inguinal hernia, with gangrene, recurrent. K40. 41 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM K40. 41 became effective on October 1, 2019.

What are the symptoms of a lumbar herniated disc?

These are the most common symptoms of lumbar disk disease:

  • Intermittent or continuous back pain. ...
  • Spasm of the back muscles
  • Sciatica – pain that starts near the back or buttock and travels down the leg to the calf or into the foot
  • Muscle weakness in the legs
  • Numbness in the leg or foot
  • Decreased reflexes at the knee or ankle
  • Changes in bladder or bowel function

What is multi level disc herniation?

Multi-Level Herniated Discs An acute injury (caused by a car crash, for example) can cause herniation of several discs at once. Additionally, when an area of the spine is weakened as the result of degenerative conditions like arthritis, all the discs in the area are susceptible to herniation.

What is M51 26 diagnosis code?

M51. 26 Other intervertebral disc displacement, lumbar region - ICD-10-CM Diagnosis Codes.

What does code M51 36 mean?

ICD-10-CM Diagnosis Codes. M51.36 - Other intervertebral disc degeneration, lumbar region.

What is the ICD 10 code for disc bulge?

Other intervertebral disc displacement, thoracolumbar region The 2022 edition of ICD-10-CM M51. 25 became effective on October 1, 2021.

What is ICD10 code M48 062?

062 Spinal Stenosis Lumbar Region with Neurogenic Claudication.

What does diagnosis code m54 9 mean?

9: Dorsalgia, unspecified.

What is G89 29 diagnosis?

ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .

Is M48 06 a billable code?

The ICD10 code for the diagnosis "Spinal stenosis, lumbar region" is "M48. 06". M48. 06 is NOT a 'valid' or 'billable' ICD10 code.

What is the ICD-10 code for lumbar pain?

Code M54. 5 is the diagnosis code used for Low Back Pain (LBP). This is sometimes referred to as lumbago.

Is a bulging disc the same as a herniated disc?

"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."

How do you code a bulging disc?

A disc described as "bulging" without further specification as to the cause of the bulging should not be coded as a displacement, but, like other observations of uncertain significance as 722.9 "other and unspecified disc disorder" or as 793.7, "nonspecific abnormal findings on radiographic examination" ( ...

What is herniation of disc?

A herniated disc (also called bulged, slipped or ruptured) is a fragment of the disc nucleus that is pushed out of the annulus, into the spinal canal through a tear or rupture in the annulus. Discs that become herniated usually are in an early stage of degeneration.

What is G89 29 diagnosis?

ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .

What is the ICD-10 code for lumbar stenosis?

06.

What is the ICD-10-CM code for chronic pain?

NOTE: To utilize these chronic pain diagnosis codes, the exact nature of pain should be specifically documented in the patient medical records; such as “chronic” to utilize ICD-10 code G. 89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4.

What is the ICD-10 code for sacroiliitis?

ICD-10 code: M46. 1 Sacroiliitis, not elsewhere classified.

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.

What is the 5th character of a disc?

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.

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 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.