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Home/Diagnosis/ICD-10 Coding for Lumbar Pain with Radiculopathy

ICD-10 Coding for Lumbar Pain with Radiculopathy

M54.16
M51.16

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

Also Known as:
Lumbago with Sciatica
Lumbar Radiculopathy
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Key Information: ICD-10 Coding for Lumbar Pain with Radiculopathy

Essential facts and insights about ICD-10 Coding for Lumbar 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 radicular symptoms without confirmed disc pathology

Applicable To

  • • Lumbar radiculopathy

Important Notes

  • • Ensure documentation specifies radiculopathy and excludes other causes of low back pain.

Intervertebral disc disorders with radiculopathy, lumbar region

Billable Code
M51.16
Billable

Diagnostic Criteria

  • • MRI confirming disc herniation
  • • Documented nerve root compression

Applicable To

  • • Disc herniation with radiculopathy

Important Notes

  • • Ensure imaging findings are documented to support this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Chronic pain syndrome

Use for chronic pain management scenarios.

Frequently Asked Questions

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

The ICD-10 code for lumbar pain with radiculopathy is M54.16, used when radiculopathy is present without specific disc pathology.

How do you code lumbar radiculopathy with disc disorder?

Use ICD-10 code M51.16 for lumbar radiculopathy when imaging confirms disc pathology causing the condition.

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