Sciatica
ICD-10 M54.3 is a billable code used to indicate a diagnosis of sciatica.
Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from the lower back through the hips and buttocks and down each leg. Typically, sciatica affects only one side of the body and is often caused by a herniated disk, bone spur on the spine, or narrowing of the spine (spinal stenosis). The pain associated with sciatica can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. It may also cause weakness, numbness, or difficulty moving the leg or foot. Sciatica is often exacerbated by prolonged sitting, standing, or certain movements. Conservative management includes physical therapy, medications (such as NSAIDs), and lifestyle modifications, while surgical options may be considered for severe cases that do not respond to conservative treatment. Surgical interventions may involve discectomy or laminectomy to relieve pressure on the sciatic nerve. Understanding the underlying cause of sciatica is crucial for effective treatment and management.
Detailed history of symptoms, physical examination findings, imaging results, and treatment plans.
Patients presenting with acute or chronic sciatica, often following an injury or with degenerative changes.
Ensure clear documentation of conservative management efforts before considering surgical options.
Neurological examination findings, imaging studies, and response to conservative treatments.
Patients with neurological deficits or severe pain requiring further evaluation.
Document any neurological assessments and the rationale for referrals to other specialties.
Used when surgical intervention is required for severe sciatica due to nerve compression.
Pre-operative evaluations, imaging studies, and post-operative follow-up notes.
Orthopedic or neurosurgical documentation must clearly outline the need for surgery.
Sciatica specifically refers to pain that radiates along the sciatic nerve, often due to nerve compression, while lumbago is a general term for lower back pain without specific nerve involvement.
