Radiculopathy, sacral and sacrococcygeal region
ICD-10 M54.18 is a billable code used to indicate a diagnosis of radiculopathy, sacral and sacrococcygeal region.
Radiculopathy in the sacral and sacrococcygeal region refers to a condition where nerve roots in the lower spine are compressed or irritated, leading to pain, weakness, or numbness that can radiate into the lower extremities. This condition often presents with symptoms such as lower back pain, sciatica, and discomfort in the buttocks or legs. The sacral region includes the lower part of the spine, and radiculopathy here can result from various causes, including herniated discs, spinal stenosis, or degenerative disc disease. Patients may experience dorsalgia, which is a general term for back pain, and may have difficulty with mobility or performing daily activities. Conservative management typically includes physical therapy, pain management with medications, and lifestyle modifications. In cases where conservative treatment fails, surgical options such as decompression or spinal fusion may be considered. Accurate diagnosis and treatment are crucial for effective management and to prevent chronic pain syndromes.
Detailed physical examination findings, imaging results, and treatment plans.
Patients presenting with lower back pain and neurological symptoms, post-surgical follow-ups.
Ensure clear documentation of the relationship between symptoms and physical findings.
Neurological examination results, imaging studies, and response to treatments.
Patients with chronic pain and neurological deficits, differential diagnosis of radiculopathy.
Documenting the neurological assessment is crucial for accurate coding.
Used when surgical intervention is required for severe radiculopathy.
Pre-operative assessments, imaging results, and post-operative follow-up notes.
Orthopedic and neurosurgical documentation must clearly outline the need for surgery.
Common symptoms include lower back pain, pain radiating into the legs, numbness, tingling, and weakness in the lower extremities.
Surgical intervention may be considered if conservative treatments fail after a reasonable period, or if there is significant neurological impairment.
