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Home/Diagnosis/ICD-10 Coding for Buttock Pain

ICD-10 Coding for Buttock Pain

M54.3
M79.6

Complete ICD-10-CM coding and documentation guide for icd-10 coding for buttock pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Gluteal Pain
Sciatica
Piriformis Syndrome
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Key Information: ICD-10 Coding for Buttock Pain

Essential facts and insights about ICD-10 Coding for Buttock Pain

Use ICD-10 code M54.3 for sciatica, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sciatica

Non-Billable
M54.3
Non-Billable

Diagnostic Criteria

  • • Presence of dermatomal pain pattern and imaging confirmation

Applicable To

  • • Pain radiating from lower back to buttock and leg

Important Notes

  • • Ensure documentation specifies nerve involvement and imaging results.

Pain in limb

Non-Billable
M79.6
Non-Billable

Applicable To

  • • Piriformis syndrome

Important Notes

  • • Document specific muscle tenderness and response to physical tests.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use for chronic buttock pain post-trauma.

Frequently Asked Questions

What is the ICD-10 code for buttock pain?

The ICD-10 code for buttock pain can vary based on the underlying cause, such as M54.3 for sciatica or M79.6 for piriformis syndrome.

How do you code chronic buttock pain?

Chronic buttock pain may be coded with G89.28 if related to postprocedural pain, alongside specific site codes like M54.3 for sciatica.

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