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Home/Diagnosis/ICD-10 Coding for Degeneration of Lumbar Intervertebral Disc

ICD-10 Coding for Degeneration of Lumbar Intervertebral Disc

M51.360
M51.361
M51.362

Complete ICD-10-CM coding and documentation guide for icd-10 coding for degeneration of lumbar intervertebral disc includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lumbar Disc Degeneration
Degenerative Disc Disease of Lumbar Spine
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Key Information: ICD-10 Coding for Degeneration of Lumbar Intervertebral Disc

Essential facts and insights about ICD-10 Coding for Degeneration of Lumbar Intervertebral Disc

Use ICD-10 code M51.360 for lumbar disc degeneration with discogenic back pain only, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Lumbar disc degeneration with discogenic back pain only

Billable Code
M51.360
Billable

Diagnostic Criteria

  • • MRI showing Pfirrmann grade III or higher
  • • Modic changes
  • • Annular tear

Applicable To

  • • Discogenic back pain

Important Notes

  • • Ensure documentation specifies 'discogenic' to differentiate from other types of back pain.

Lumbar disc degeneration with lower extremity pain only

Billable Code
M51.361
Billable

Diagnostic Criteria

  • • MRI showing disc degeneration
  • • Pain pattern consistent with sclerotomal referral

Applicable To

  • • Non-radicular lower extremity pain

Important Notes

  • • Document the non-radicular nature of the leg pain clearly.

Lumbar disc degeneration with both discogenic back pain and lower extremity pain

Billable Code
M51.362
Billable

Diagnostic Criteria

  • • MRI showing disc degeneration
  • • Both back and leg pain documented as discogenic

Applicable To

  • • Discogenic back pain with non-radicular leg pain

Important Notes

  • • Ensure both types of pain are clearly documented as discogenic.

Lumbar disc degeneration without documented back/leg pain

Billable Code
M51.369
Billable

Diagnostic Criteria

  • • Imaging showing disc degeneration without pain symptoms

Applicable To

  • • Asymptomatic disc degeneration

Important Notes

  • • Ensure lack of symptoms is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Chronic pain syndrome

Use if chronic pain syndrome is documented.

Frequently Asked Questions

What is the ICD-10 code for degeneration of lumbar intervertebral disc?

The ICD-10 code for degeneration of lumbar intervertebral disc with specific symptoms is M51.36, with subcodes M51.360, M51.361, and M51.362 for different symptomatology.

How is lumbar disc degeneration documented?

Documentation should include imaging results confirming disc degeneration and specific descriptions of symptoms like discogenic back pain or non-radicular leg pain.

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