icd 10 code for multilevel degenerative disc disease lumbar spine

by Sheridan Schamberger 4 min read

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 is the difference between radiculopathy and myelopathy?

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.

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.