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Home/Diagnosis/ICD-10 Coding for Buttocks Pain

ICD-10 Coding for Buttocks Pain

M54.30
G57.01
R10.2

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

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

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

Use ICD-10 code M54.30 for sciatica, unspecified side, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sciatica, unspecified side

Billable Code
M54.30
Billable

Diagnostic Criteria

  • • Presence of radicular pain and neurological deficits.

Applicable To

  • • Radicular pain from lumbar spine to buttock/leg

Important Notes

  • • Ensure documentation specifies radiation and neurological involvement.

Piriformis syndrome, right side

Billable Code
G57.01
Billable

Diagnostic Criteria

  • • Tenderness over sciatic notch
  • • Pain reproduced with FAIR maneuver
  • • No neurological deficits

Applicable To

  • • Pain in sciatic notch
  • • Positive FAIR test

Important Notes

  • • Document FAIR test results and absence of neurological deficits.

Pelvic and perineal pain

Billable Code
R10.2
Billable

Diagnostic Criteria

  • • Localized pelvic tenderness
  • • No radiation beyond groin

Applicable To

  • • Localized pelvic pain without radiation

Important Notes

  • • Ensure pain is localized to the pelvic region.
Frequently Asked Questions

What is the ICD-10 code for buttocks pain?

The ICD-10 code for buttocks pain can vary based on the underlying cause, such as M54.30 for sciatica or G57.01 for piriformis syndrome.

How do you differentiate between sciatica and piriformis syndrome?

Sciatica typically involves radicular pain with neurological deficits, while piriformis syndrome presents with pain in the sciatic notch and a positive FAIR test without neurological deficits.

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