Sciatica ICD 10 Coding guide for coders

Basic information about ICD 10 code for Sciatica

Sciatica is nerve pain from an injury or irritation to the sciatic nerve, which originates in your buttock/gluteal area and the longest nerve in the body. ICD-Code M54.3 is a non-billable ICD-10 code for sciatica used for healthcare diagnosis reimbursement of Sciatica. Its corresponding ICD-9 code is 724.3.

Description of Sciatica ICD 10 codes

Below are list of codes used of coding specific sciatica. Some of the codes already include sciatica in their code description hence do not code, again sciatica with these codes. For example, in below list Lumbago with sciatica due to intervertebral disc disorder (M51.1-), already includes sciatica, so here only the code from M51.1- series will be enough to code. This is a combination code which represent two or more diagnosis in a single ICD 10 code.

M54.3 Sciatica

Excludes 1 
lesion of sciatic nerve (G57.0)                                                                                                                                                              sciatica due to intervertebral disc disorder (M51.1-)                                                                                                                                                           sciatica with lumbago (M54.4-)

M54.30 Sciatica, unspecified side
M54.31 Sciatica, right side 
M54.32 Sciatica, left side

M54.4 Lumbago with sciatica
Excludes 1 
lumbago with sciatica due to intervertebral disc disorder (M51.1-)

M54.40 Lumbago with sciatica, unspecified side
M54.41 Lumbago with sciatica, right side                                                                                                              
M54.42 Lumbago with sciatica, left side

Read also: ICD 10 coding guide for back pain

Other Synonyms of Sciatica Include:
  • Lower back pain
  • Weakness or numbness in leg
  • Weakness or numbness in foot

Basic ICD-10 INFORMATION

World Health Organization (WHO) authorized the publication of the International Classification of DiseasesExternal 10th Revision (ICD-10), which was implemented for mortality coding and classification from death certificates in the U.S. in 1999. The U.S. developed a Clinical Modification (ICD-10-CM) for medical diagnoses based on WHO’s ICD-10.  This medical classification list is generated by the World Health Organization (WHO), and is used to help healthcare providers identify and code health conditions.

ICD-10 is required for use by physicians and healthcare providers under the Health Insurance Portability & Accountability Act (HIPAA) and will replace all ICD-9 code sets. There are nearly 5 times as many diagnosis codes in ICD-10-CM than in ICD-9-CM.ICD-10 has alphanumeric categories instead of numeric ones.

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