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Home/Diagnosis/ICD-10 Coding for Degenerative Disk Disease of Lumbar Spine

ICD-10 Coding for Degenerative Disk Disease of Lumbar Spine

M51.360
M51.361
M51.362

Complete ICD-10-CM coding and documentation guide for icd-10 coding for degenerative disk disease of lumbar spine includes clinical validation requirements, medical necessity guidelines, and coding policies.

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

Essential facts and insights about ICD-10 Coding for Degenerative Disk Disease of Lumbar Spine

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

Primary ICD-10-CM Codes

Lumbar DDD with discogenic back pain only

Billable Code
M51.360
Billable

Diagnostic Criteria

  • • Presence of axial low back pain with MRI evidence of disc degeneration

Applicable To

  • • Axial low back pain due to lumbar DDD

Important Notes

  • • Ensure documentation specifies the link between DDD and back pain.

Lumbar DDD with lower extremity pain only

Billable Code
M51.361
Billable

Diagnostic Criteria

  • • Non-radicular leg pain with MRI showing lumbar disc degeneration

Applicable To

  • • Non-radicular leg pain due to lumbar DDD

Important Notes

  • • Ensure documentation differentiates between radicular and non-radicular pain.

Lumbar DDD with both back and leg pain

Billable Code
M51.362
Billable

Diagnostic Criteria

  • • Mixed axial and leg pain with MRI showing lumbar disc degeneration

Applicable To

  • • Mixed axial and referred leg pain due to lumbar DDD

Important Notes

  • • Documentation must clearly link both back and leg pain to DDD.

Lumbar DDD without documented pain

Billable Code
M51.369
Billable

Diagnostic Criteria

  • • Incidental MRI finding of disc degeneration without symptoms

Applicable To

  • • Asymptomatic lumbar DDD

Important Notes

  • • Ensure no symptoms are documented when using this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.41

Lumbosacral radiculopathy

Use if radiculopathy is confirmed via EMG/NCS and not directly linked to DDD.

Frequently Asked Questions

What is the ICD-10 code for degenerative disk disease of the lumbar spine?

The ICD-10 code for degenerative disk disease of the lumbar spine with specific pain location is M51.36-, with sixth characters indicating the presence and location of pain.

How do you document lumbar DDD with pain?

Document lumbar DDD with pain by specifying the pain location and linking it to MRI findings of disc degeneration. Use terms like 'discogenic pain' for clarity.

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