Neurogenic = arising in the nervous system. Claudication = leg pain, heaviness and/or weakness with walking. Neurogenic claudication results from compression of the spinal nerves in the lumbar (lower) spine. It is sometimes known as pseudoclaudication.
Spinal stenosis, lumbar region with neurogenic claudication M48. 062 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Treatment for neurogenic claudication is surgical and the newest, safest surgery to treat neurogenic claudication is Deuk Laser Disc Repair, a minimally invasive laser spine surgery that is performed outpatient with a 95% success rate.
Is neurogenic claudication the same as sciatica? Even though both conditions are caused by pressure on the nerves, the difference is in the way people describe their condition, thus creating difficulties in diagnosis.14 Nov 2018
Spinal stenosis, lumbar regionICD-10 | Spinal stenosis, lumbar region without neurogenic claudication (M48. 061)
Radiculopathy, lumbar regionicd10 - M5416: Radiculopathy, lumbar region.
Clinical implications This study showed that a short treadmill walking test can help health care professionals to discriminate the neurogenic claudication from the vascular claudication.15 Jul 2021
Symptoms of neurogenic claudication are related to posture and may show up as pain in the low back and/or leg as muscle cramps. The combination of the presence of spinal stenosis with certain back postures such as arching puts pressure on lumbosacral nerve roots and/or the cauda equina.24 Jun 2020
How is neurogenic claudication diagnosed? Physical exam: Your healthcare provider will examine your legs and feet to look for signs of vascular claudication and feel for pulses in these extremities. One or more of the following imaging tests: X-rays.18 Oct 2021
Neurogenic versus Vascular Claudication Put simply, neurogenic claudication is caused by damage to the neurological system, namely the spinal cord and nerves, while vascular claudication, or pain in the legs while walking, is caused by insufficient blood flow.
Gabapentin can greatly reduce pain, but it is not effective in reducing the disability of spinal stenosis patients in the long term.5 Jul 2016
Unless the pinched nerves are dealt with quickly these symptoms can be permanent. It is therefore considered a medical emergency.
M48.062 is a valid billable ICD-10 diagnosis code for Spinal stenosis, lumbar region with neurogenic claudication . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also: