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Home/Diagnosis/ICD-10 Coding for Right-sided Sciatica

ICD-10 Coding for Right-sided Sciatica

M54.31
M51.16

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

Also Known as:
Right Sciatic Nerve Pain
Right Sciatica
right lumbar radiculopathy
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Key Information: ICD-10 Coding for Right-sided Sciatica

Essential facts and insights about ICD-10 Coding for Right-sided Sciatica

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:
  • • Pain follows right dermatomal pattern (L5/S1)
documentation:
  • • Documentation specifies 'right-sided sciatica'

Applicable To

  • • Right-sided sciatic nerve pain

Important Notes

  • • Ensure documentation specifies laterality and associated symptoms.

Intervertebral disc disorders with radiculopathy, lumbar region

Billable Code
M51.16
Billable

Diagnostic Criteria

clinical:
  • • MRI-confirmed lumbar disc herniation compressing right L5/S1 nerve root

Applicable To

  • • Disc herniation with radiculopathy

Important Notes

  • • Document imaging findings clearly to support coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M51.16

Intervertebral disc disorders with radiculopathy, lumbar region

Use when sciatica is due to a herniated disc confirmed by imaging.

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 sciatica is idiopathic or without a confirmed structural cause.

When should M51.16 be used for sciatica?

Use M51.16 when sciatica is due to a herniated disc, confirmed by MRI showing compression of the right L5/S1 nerve root.

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