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Home/Diagnosis/ICD-10 Coding for Right Buttock Pain

ICD-10 Coding for Right Buttock Pain

M54.31
G57.01
S39.012D

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

Also Known as:
Right Gluteal Pain
Right Hip Pain
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Key Information: ICD-10 Coding for Right Buttock Pain

Essential facts and insights about ICD-10 Coding for Right Buttock Pain

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 dermatomal pain map and positive SLR test.

Applicable To

  • • Right-sided sciatica

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Lesion of sciatic nerve, right lower limb

Billable Code
G57.01
Billable

Diagnostic Criteria

  • • Positive FAIR test
  • • EMG showing sciatic neuropathy

Applicable To

  • • Right piriformis syndrome

Important Notes

  • • Document specific tests like the FAIR test to support diagnosis.

Strain of muscle, fascia and tendon of lower back, subsequent encounter

Billable Code
S39.012D
Billable

Diagnostic Criteria

  • • Acute trauma history
  • • Localized swelling or ecchymosis

Applicable To

  • • Right gluteal strain

Important Notes

  • • Ensure documentation of trauma and physical findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

M51.16

Intervertebral disc disorders with radiculopathy, lumbar region

Use when disc herniation is present and contributes to sciatica.

M62.838

Other muscle spasm

Use when muscle spasm is a significant symptom.

S79.011A

Contusion of right hip

Use when contusion accompanies the strain.

Frequently Asked Questions

What is the ICD-10 code for right buttock pain?

The ICD-10 code for right buttock pain can vary based on the underlying cause. Common codes include M54.31 for right-sided sciatica and G57.01 for right piriformis syndrome.

How do you code right buttock pain due to piriformis syndrome?

For right buttock pain due to piriformis syndrome, use ICD-10 code G57.01, which specifies a lesion of the sciatic nerve in the right lower limb.

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