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

ICD-10 Coding for Low Back Pain with Sciatica

M54.31
M54.32
M54.41

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

Also Known as:
Lumbago with Sciatica
Sciatica with Low Back Pain
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Key Information: ICD-10 Coding for Low Back Pain with Sciatica

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

Use ICD-10 code M54.31 for sciatica, right side, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sciatica, right side

Billable Code
M54.31
Billable

Diagnostic Criteria

  • • Presence of right-sided leg pain with neurological signs

Applicable To

  • • Right-sided sciatica

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Sciatica, left side

Billable Code
M54.32
Billable

Applicable To

  • • Left-sided sciatica

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Lumbago with sciatica, right side

Billable Code
M54.41
Billable

Applicable To

  • • Right-sided low back pain with sciatica

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Lumbago with sciatica, left side

Billable Code
M54.42
Billable

Applicable To

  • • Left-sided low back pain with sciatica

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M51.16

Intervertebral disc disorders with radiculopathy, lumbar region

Use when sciatica is due to a lumbar disc disorder.

M51.17

Intervertebral disc disorders with radiculopathy, lumbosacral region

Use when sciatica is due to a lumbosacral disc disorder.

Frequently Asked Questions

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

The ICD-10 codes for low back pain with sciatica are M54.41 for right side and M54.42 for left side. These codes specify the presence of both low back pain and sciatica.

How do you code sciatica without low back pain?

For sciatica without significant low back pain, use M54.31 for right-sided sciatica and M54.32 for left-sided sciatica.

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