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

ICD-10 Coding for Sciatica Nerve Pain

M54.31
M54.32

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

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

Essential facts and insights about ICD-10 Coding for Sciatica Nerve 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 right-sided leg pain with neurological signs

Applicable To

  • • Right-sided sciatica

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Sciatica, left side

Billable Code
M54.32
Billable

Diagnostic Criteria

    Applicable To

    • • Left-sided sciatica

    Important Notes

    • • Ensure laterality is documented to avoid unspecified coding.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    M51.16

    Lumbar disc disorder with radiculopathy

    Use when MRI confirms disc herniation causing sciatica.

    Frequently Asked Questions

    What is the ICD-10 code for right-sided sciatica?

    The ICD-10 code for right-sided sciatica is M54.31. It is used when documentation specifies right-sided symptoms with supporting clinical findings.

    How do you code sciatica due to disc herniation?

    For sciatica due to disc herniation, use M51.16 for the disc disorder and M54.3- for sciatica, ensuring proper sequencing.

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