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Home/Diagnosis/ICD-10 Coding for Disk Herniation

ICD-10 Coding for Disk Herniation

M51.16
M51.26

Complete ICD-10-CM coding and documentation guide for icd-10 coding for disk 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 Disk Herniation

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

Use ICD-10 code M51.16 for intervertebral disc disorders with radiculopathy, lumbar region, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Intervertebral disc disorders with radiculopathy, lumbar region

Billable Code
M51.16
Billable

Diagnostic Criteria

clinical:
  • • Presence of radicular pain and MRI confirmation
documentation:
  • • Detailed description of symptoms and imaging results

Applicable To

  • • Lumbar disc herniation with radiculopathy

Important Notes

  • • Ensure radiculopathy is documented with clinical findings.

Other intervertebral disc displacement, lumbar region

Billable Code
M51.26
Billable
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.16

Radiculopathy, lumbar region

Use only if radiculopathy persists post-surgery or if no combination code applies.

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. It requires documentation of radiculopathy symptoms and imaging confirmation.

How do you code a lumbar disc herniation without radiculopathy?

For lumbar disc herniation without radiculopathy, use ICD-10 code M51.26. Ensure documentation excludes radiculopathy symptoms.

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Diagnostic Criteria

clinical:
    documentation:

      Applicable To

      • • Lumbar disc bulge without radiculopathy

      Important Notes

      • • Ensure absence of radiculopathy is documented.