Sciatica, right side
ICD-10 M54.31 is a billable code used to indicate a diagnosis of sciatica, right side.
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. Sciatica typically affects only one side of the body, and in this case, it is specified as the right side. The condition is often caused by a herniated disk, bone spur on the spine, or narrowing of the spine (spinal stenosis) that compresses the nerve. Symptoms include pain that varies in intensity, often described as sharp, burning, or shooting, and may be accompanied by numbness, tingling, or muscle weakness in the affected leg. The pain can worsen with prolonged sitting, standing, or certain movements. Management of sciatica can be conservative, involving physical therapy, medications (such as NSAIDs or muscle relaxants), and lifestyle modifications. In cases where conservative treatment fails, surgical options such as microdiscectomy or laminectomy may be considered to relieve nerve compression. Accurate coding for sciatica is crucial for appropriate treatment and reimbursement.
Detailed notes on physical examination findings, imaging results, and treatment plans.
Patients presenting with acute or chronic sciatica, often following an injury or with degenerative changes.
Ensure documentation reflects the severity of symptoms and response to conservative treatment.
Comprehensive neurological examination findings, including sensory and motor assessments.
Patients with radicular pain and neurological deficits requiring further evaluation.
Document any diagnostic imaging and neurological assessments to support the diagnosis.
Used when surgical intervention is required for severe sciatica due to nerve compression.
Operative report detailing the procedure and indication.
Orthopedic or neurosurgical documentation must support the need for surgery.
M54.31 specifies sciatica on the right side, while M54.30 is used when the side is unspecified. Accurate documentation is essential to choose the correct code.
