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Home/Diagnosis/ICD-10 Coding for Disc Herniation

ICD-10 Coding for Disc Herniation

M50.0
M51.16

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

Also Known as:
Herniated Disc
Slipped Disc
Prolapsed Disc
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Key Information: ICD-10 Coding for Disc Herniation

Essential facts and insights about ICD-10 Coding for Disc Herniation

Use ICD-10 code M50.0 for cervical disc disorder with myelopathy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Cervical disc disorder with myelopathy

Non-Billable
M50.0
Non-Billable

Diagnostic Criteria

  • • Presence of myelopathy signs such as hyperreflexia

Applicable To

  • • Cervical disc disorder with spinal cord compression

Important Notes

  • • Ensure documentation of myelopathy signs to support this code.

Lumbar disc herniation with radiculopathy

Billable Code
M51.16
Billable

Diagnostic Criteria

  • • Positive straight leg raise test
  • • MRI showing nerve root compression

Applicable To

  • • Lumbar disc herniation with sciatica

Important Notes

  • • Document radiculopathy symptoms clearly to justify this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to disc herniation

Use for chronic pain persisting more than 3 months.

M54.5

Low back pain

Use only if pain is not fully explained by the herniation.

Frequently Asked Questions

What is the ICD-10 code for lumbar disc herniation with radiculopathy?

The ICD-10 code for lumbar disc herniation with radiculopathy is M51.16. This code is used when there is documented evidence of radiculopathy symptoms and imaging confirmation.

How do you code cervical disc disorder with myelopathy?

Use ICD-10 code M50.0 for cervical disc disorder with myelopathy, ensuring documentation includes myelopathy signs and MRI evidence of spinal cord compression.

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