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Home/Diagnosis/ICD-10 Coding for Lumbar Degenerative Disk Disease

ICD-10 Coding for Lumbar Degenerative Disk Disease

M51.36
M54.51

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

Also Known as:
Lumbar DDD
Degenerative Disc Disease of the Lumbar Spine
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Key Information: ICD-10 Coding for Lumbar Degenerative Disk Disease

Essential facts and insights about ICD-10 Coding for Lumbar Degenerative Disk Disease

Use ICD-10 code M51.36 for other intervertebral disc degeneration, lumbar region, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other intervertebral disc degeneration, lumbar region

Non-Billable
M51.36
Non-Billable

Diagnostic Criteria

  • • MRI confirms degenerative changes in the lumbar discs.

Applicable To

  • • Lumbar degenerative disc disease confirmed by imaging

Important Notes

  • • Ensure MRI findings are documented to support the use of M51.36.

Vertebrogenic low back pain

Billable Code
M54.51
Billable

Diagnostic Criteria

  • • Modic changes on MRI
  • • Pain reproduction on flexion/extension

Applicable To

  • • Pain originating from vertebral endplates

Important Notes

  • • Document Modic changes to support the use of this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.51

Vertebrogenic low back pain

Use when vertebrogenic pain is documented with Modic changes.

Frequently Asked Questions

What is the ICD-10 code for lumbar degenerative disk disease?

The ICD-10 code for lumbar degenerative disk disease is M51.36, used when imaging confirms the condition.

How do you document lumbar degenerative disk disease?

Document lumbar DDD by including MRI findings such as disc height loss and Modic changes, and note any failed conservative treatments.

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