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Home/Diagnosis/ICD-10 Coding for Gluteal Pain

ICD-10 Coding for Gluteal Pain

M76.01
G57.01

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

Also Known as:
Buttock Pain
Hip Pain
Piriformis Syndrome
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Key Information: ICD-10 Coding for Gluteal Pain

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

Use ICD-10 code M76.01 for gluteal tendinopathy, right side, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Gluteal tendinopathy, right side

Billable Code
M76.01
Billable

Diagnostic Criteria

clinical:
  • • MRI confirms tendinopathy
documentation:
  • • Documented tenderness over greater trochanter

Applicable To

  • • Right gluteus medius tendinopathy

Important Notes

  • • Ensure documentation specifies tendon involvement.

Piriformis syndrome, right side

Billable Code
G57.01
Billable

Diagnostic Criteria

clinical:
  • • Positive FAIR test
  • • EMG showing delayed H-reflex

Applicable To

  • • Right piriformis muscle syndrome

Important Notes

  • • Document specific tests confirming nerve involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.551

Pain in right hip

Use to document associated hip pain.

M54.31

Sciatica, right side

Use if sciatica symptoms are present.

Frequently Asked Questions

What is the ICD-10 code for gluteal pain?

The ICD-10 code for gluteal pain can vary based on the specific condition, such as M76.0x for gluteal tendinopathy or G57.0x for piriformis syndrome.

How do you code piriformis syndrome?

Piriformis syndrome is coded under G57.0x, with specific codes for laterality, such as G57.01 for the right side.

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