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Home/Diagnosis/ICD-10 Coding for Sciatica with Lumbago

ICD-10 Coding for Sciatica with Lumbago

M54.41
M54.42

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

Also Known as:
Lumbago with Sciatica
Low Back Pain with Sciatica
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Key Information: ICD-10 Coding for Sciatica with Lumbago

Essential facts and insights about ICD-10 Coding for Sciatica with Lumbago

Use ICD-10 code M54.41 for lumbago with sciatica, right side, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Lumbago with sciatica, right side

Billable Code
M54.41
Billable

Diagnostic Criteria

  • • Presence of sciatica symptoms on the right side

Applicable To

  • • Right-sided sciatica with low back pain

Important Notes

  • • Ensure laterality is documented clearly.

Lumbago with sciatica, left side

Billable Code
M54.42
Billable

Diagnostic Criteria

    Applicable To

    • • Left-sided sciatica with low back pain

    Important Notes

    • • Ensure laterality is documented clearly.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    M54.16

    Radiculopathy, lumbar region

    Use to specify radiculopathy when present.

    M48.06

    Spinal stenosis, lumbar region

    Use when spinal stenosis is contributing to symptoms.

    Frequently Asked Questions

    What is the ICD-10 code for sciatica with lumbago?

    The ICD-10 code for sciatica with lumbago is M54.4-, with specific codes for laterality: M54.41 for right side and M54.42 for left side.

    How do you document sciatica with lumbago?

    Document sciatica with lumbago by specifying laterality, confirming with diagnostic tests like MRI, and noting symptoms such as radiating pain.

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