Lumbago with sciatica, left side. M54.42 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 M54.42 became effective on October 1, 2018.
Oct 01, 2021 · Sciatica, unspecified side. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. M54.30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM …
Oct 01, 2021 · Lumbago with sciatica. 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code. M54.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM M54.4 became effective on October 1, 2021.
Oct 01, 2021 · Lumbago with sciatica, left side. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. M54.42 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M54.42 became effective on October 1, 2021.
ICD-10-CM Diagnosis Code M51.2 Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
The 2022 edition of ICD-10-CM M54.42 became effective on October 1, 2021.
lumbago with sciatica due to intervertebral disc disorder ( M51.1-) Lumbago with sciatica. Approximate Synonyms. Left lumbago w sciatica. Low back pain co-occurrent and due to bilateral sciatica. Low back pain with bilateral sciatica. Low back pain with left sciatica. Lumbago with left sided sciatica.
Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous sprains and strains; intervertebral disk displacement; and other conditions.
M54.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
One more rule to keep in mind is that the symptoms of back or neck pain are included with some of these codes. Don’t code cervicalgia (M54.2) along with cervical disc disorders (M50-), and don’t code low back pain (M54.5) along with lumbar disc displacement (M51.2-).
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.
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.
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.