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Home/Diagnosis/ICD-10 Coding for Pain in Buttocks

ICD-10 Coding for Pain in Buttocks

M54.31
G57.01

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

Also Known as:
Buttock Pain
Gluteal Pain
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Key Information: ICD-10 Coding for Pain in Buttocks

Essential facts and insights about ICD-10 Coding for Pain in Buttocks

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

clinical:
  • • Presence of radiating pain and positive SLR
documentation:
  • • Detailed description of pain characteristics and imaging findings

Applicable To

  • • Right-sided sciatica

Important Notes

  • • Ensure documentation supports nerve involvement and laterality.

Piriformis Syndrome, right side

Billable Code
G57.01
Billable

Diagnostic Criteria

clinical:
  • • Tenderness over piriformis muscle
  • • Positive Pace sign
  • • FAIR test

Applicable To

  • • Right-sided piriformis syndrome

Important Notes

  • • Document muscle spasm and nerve compression clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Chronic Pain

Use for chronic pain management when sciatica is chronic.

Frequently Asked Questions

What is the ICD-10 code for pain in buttocks?

The ICD-10 code for pain in the buttocks can vary based on the underlying cause, such as M54.31 for sciatica or G57.01 for piriformis syndrome.

How do you code sciatica with buttock pain?

Code M54.31 for right-sided sciatica when buttock pain is due to nerve compression, supported by clinical findings like positive SLR.

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