Treatment
CPT code 62270, 62272, 62273 - Lumbar Puncture
the spinal canal and create more space for the spinal cord and spinal nerves. So even if the surgeon uses the word laminotomy, he is still decompressing the nerve preventing radiculopathy. Use CPT 63045 for cervical or CPT 63047 for lumbar, with additional levels billed with add-on Code +63048 unilateral or bilateral.
Code M54. 5 is the diagnosis code used for Low Back Pain (LBP). This is sometimes referred to as lumbago.
ICD-10 Code for Other intervertebral disc degeneration, lumbar region- M51. 36- Codify by AAPC.
ICD-10-CM Code for Dorsalgia, unspecified M54. 9.
Lumbago with sciatica, right side 41 became effective on October 1, 2021. This is the American ICD-10-CM version of M54.
M51. 36 - Other intervertebral disc degeneration, lumbar region. ICD-10-CM.
According to Coding Clinic: “Assign code M16. 0—Bilateral primary osteoarthritis of hip for degenerative changes of hips”. Coding Clinic's rationale is, “ICD-10- CM's Alphabetic Index under “Degeneration, joint disease” instructs “see Osteoarthritis.”
Dorsalgia means back or spine pain, including low back, mid back, and sciatic pain. It does not include pain related to scoliosis, lordosis, or other specifically classified conditions.
For starters, dorsalgia is severe back pain, which could be coming from different parts of the spine. Depending on the specific section of the spine where the pain is coming from, there are six types of dorsalgia.
89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4.
16.
M54. 31 Sciatica, right side - ICD-10-CM Diagnosis Codes.
M51. 86 - Other intervertebral disc disorders, lumbar region | ICD-10-CM.
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.