Intervertebral disc disorders with radiculopathy, lumbosacral region. M51.17 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM M51.17 became effective on October 1, 2018.
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· Degenerative disc disease, lower back; Lumbar disc degeneration; ICD-10-CM M51.36 is grouped within Diagnostic Related Group(s) (MS-DRG v 39.0): 551 Medical back problems with mcc; 552 Medical back problems without mcc; Convert M51.36 to ICD-9-CM. Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
· Lumbosacral disc degeneration; ICD-10-CM M51.37 is grouped within Diagnostic Related Group(s) (MS-DRG v 39.0): 551 Medical back problems with mcc; 552 Medical back problems without mcc; Convert M51.37 to ICD-9-CM. Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change
Spondylopathy in diseases classified elsewhere, lumbosacral region. Spondylopathy in diseases classd elswhr, lumbosacral region. ICD-10-CM Diagnosis Code M49.87. Spondylopathy in diseases classified elsewhere, lumbosacral region. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Manifestation Code.
ICD-10-CM Diagnosis Code M51.06. Intervertebral disc disorders with myelopathy, lumbar region. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code M51.86 [convert to ICD-9-CM] Other intervertebral disc disorders, lumbar region. Calcification of lumbar disc; Lumbar disc calcification.
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.
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.
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.
Myelopathy means that there is some sort of neurologic deficit to the spinal cord, whereas radiculopathy means that there is a deficit to nerve roots. Don’t code radiculitis (M54.1-) separately if you use thefourth character of “1” with radiculopathy for the disc disorders (M50.1- or M51.1-). It is already included in the code.
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.