Lumbago with sciatica, left side
ICD-10 M54.42 is a billable code used to indicate a diagnosis of lumbago with sciatica, left side.
Lumbago with sciatica, left side (M54.42) refers to lower back pain (lumbago) that is accompanied by pain radiating down the left 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 weakness in the left leg, which may be exacerbated by 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. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed history of present illness, physical examination findings, imaging results, and treatment plans.
Patients presenting with acute or chronic back pain, often following an injury or degenerative changes.
Ensure clear documentation of the neurological examination and any imaging studies performed.
Comprehensive assessment of functional limitations, treatment goals, and response to therapy.
Patients undergoing rehabilitation for sciatica-related pain and functional impairments.
Documenting progress notes and functional outcomes is critical for ongoing treatment justification.
Used for follow-up visits for patients with lumbago and sciatica.
Document the patient's history, examination findings, and treatment plan.
Ensure that the visit level reflects the complexity of the patient's condition.
M54.41 refers to lumbago with sciatica on the right side, while M54.42 specifies the left side. Accurate documentation of the affected side is crucial for proper coding.
