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Home/Diagnosis/ICD-10 Coding for Herniated Disk

ICD-10 Coding for Herniated Disk

M51.16

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

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

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

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

  • • Presence of lumbar disc herniation with radiculopathy confirmed by imaging

Applicable To

  • • Lumbar disc herniation with radiculopathy

Important Notes

  • • Ensure MRI or clinical exam confirms both herniation and radiculopathy.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use if low back pain is present without confirmed radiculopathy.

Frequently Asked Questions

What is the ICD-10 code for a herniated disk with radiculopathy?

The ICD-10 code for a lumbar herniated disk with radiculopathy is M51.16. This code covers both the herniation and associated radiculopathy.

How do you document a herniated disk?

Document the specific level of herniation, confirm radiculopathy with clinical exam, and include MRI findings. Use precise language to ensure accurate coding.

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