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Home/Diagnosis/ICD-10 Coding for Sciatic Nerve Pain

ICD-10 Coding for Sciatic Nerve Pain

M54.3
M54.4x
M51.16

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

Also Known as:
Sciatica
Radicular Pain
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Key Information: ICD-10 Coding for Sciatic Nerve Pain

Essential facts and insights about ICD-10 Coding for Sciatic Nerve Pain

Use ICD-10 code M54.3 for sciatica, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sciatica

Non-Billable
M54.3
Non-Billable

Diagnostic Criteria

clinical:
  • • Absence of low back pain and negative imaging for disc pathology.

Applicable To

  • • Sciatica without low back pain

Important Notes

  • • Ensure documentation specifies absence of low back pain.

Lumbago with sciatica

Non-Billable
M54.4x
Non-Billable

Applicable To

  • • Sciatica with low back pain

Important Notes

  • • Document both sciatica and low back pain clearly.

Intervertebral disc disorders with radiculopathy, lumbar region

Billable Code
M51.16
Billable

Applicable To

  • • Disc herniation with sciatica

Important Notes

  • • Ensure MRI findings are documented.
Frequently Asked Questions

What is the ICD-10 code for sciatic nerve pain?

The ICD-10 code for sciatic nerve pain without low back pain is M54.3. If low back pain is present, use M54.4x. For disc-related sciatica, use M51.16.

How do you code sciatica with disc herniation?

Code M51.16 for sciatica due to disc herniation, ensuring MRI confirmation of the disc pathology.

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