Lumbago with sciatica, right side
ICD-10 M54.41 is a billable code used to indicate a diagnosis of lumbago with sciatica, right side.
Lumbago with sciatica, right side (M54.41) refers to a condition characterized by lower back pain (lumbago) that is accompanied by pain radiating down the right leg due to irritation or compression of the sciatic nerve. This condition often arises from various underlying causes, including herniated discs, spinal stenosis, or degenerative disc disease. Patients typically present with symptoms such as sharp or shooting pain, numbness, or tingling sensations along the path of the sciatic nerve, which runs from the lower back through the buttocks and down each leg. The pain may worsen with prolonged sitting, standing, or certain movements. Diagnosis is primarily clinical, supported by imaging studies like MRI or CT scans when necessary. Treatment options vary and can include conservative management such as physical therapy, medications (NSAIDs, muscle relaxants), and lifestyle modifications. In cases where conservative measures fail, surgical interventions like discectomy or laminectomy may be considered to relieve nerve compression. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed physical examination findings, imaging results, and treatment plans.
Patients presenting with acute or chronic back pain, often following trauma or degenerative changes.
Ensure documentation reflects the severity of symptoms and response to conservative treatments.
Functional assessments, treatment goals, and progress notes.
Rehabilitation of patients post-surgery or those undergoing conservative management for sciatica.
Documenting the patient's functional limitations and response to therapy is crucial.
Used when surgical intervention is required for decompression of the sciatic nerve.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the specific findings that necessitate surgery.
M54.41 specifies lumbago with sciatica on the right side, while M54.40 is used when the side is unspecified. Accurate documentation of the affected side is crucial for proper coding.
