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Home/Diagnosis/ICD-10 Coding for Low Back Pain with Radiculopathy

ICD-10 Coding for Low Back Pain with Radiculopathy

M54.16
M51.16

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

Also Known as:
Lumbar Radiculopathy
Lumbosacral Radiculopathy
Sciatica with Neurological Deficits
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Key Information: ICD-10 Coding for Low Back Pain with Radiculopathy

Essential facts and insights about ICD-10 Coding for Low Back Pain with Radiculopathy

Use ICD-10 code M54.16 for radiculopathy, lumbar region, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Radiculopathy, lumbar region

Billable Code
M54.16
Billable

Diagnostic Criteria

  • • Presence of neurological deficits confirmed by imaging or EMG.

Applicable To

  • • Lumbar radiculopathy

Important Notes

  • • Ensure documentation specifies laterality and spinal region.

Intervertebral disc disorders with radiculopathy, lumbar region

Billable Code
M51.16
Billable

Diagnostic Criteria

  • • Use when radiculopathy is directly caused by a disc disorder.

Applicable To

  • • Discogenic radiculopathy

Important Notes

  • • Document specific disc level and nerve root affected.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use for chronic pain due to radiculopathy.

Frequently Asked Questions

What is the ICD-10 code for low back pain with radiculopathy?

The ICD-10 code for low back pain with radiculopathy is M54.16 for lumbar radiculopathy and M51.16 for intervertebral disc disorders with radiculopathy.

How do you code lumbar radiculopathy?

Lumbar radiculopathy is coded as M54.16 when confirmed by neurological deficits and imaging, or M51.16 if caused by a disc disorder.

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