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v1.0.0
ICD-10 Guide
ICD-10 CodesM51.15

M51.15

Billable

Intervertebral disc disorders with radiculopathy, thoracolumbar region

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M51.15 is a billable code used to indicate a diagnosis of intervertebral disc disorders with radiculopathy, thoracolumbar region.

Key Diagnostic Point:

Intervertebral disc disorders with radiculopathy in the thoracolumbar region refer to conditions where the intervertebral discs in the thoracic and lumbar spine are affected, leading to nerve root compression and resultant radiculopathy. This condition often arises from herniated discs, degenerative disc disease, or disc bulging, which can cause pain, numbness, or weakness radiating along the path of the affected nerve. Patients may present with symptoms such as lower back pain, sciatica, or neurological deficits in the lower extremities. Diagnosis typically involves clinical evaluation, imaging studies like MRI or CT scans, and nerve conduction studies to confirm the presence of radiculopathy. Treatment options may include conservative management such as physical therapy, medications, and epidural steroid injections, or surgical interventions like discectomy or spinal fusion if conservative measures fail. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of disc disorders (herniated vs. degenerative)
  • Identifying the specific level of the thoracolumbar spine affected
  • Documenting radiculopathy symptoms accurately
  • Understanding the implications of surgical vs. non-surgical treatment

Audit Risk Factors

  • Inadequate documentation of radiculopathy symptoms
  • Failure to specify the level of the thoracolumbar spine involved
  • Misclassification of the type of disc disorder
  • Lack of supporting imaging studies in the medical record

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and pre-operative evaluations.

Common Clinical Scenarios

Patients undergoing discectomy or spinal fusion due to herniated discs.

Billing Considerations

Ensure that the surgical approach and level of intervention are clearly documented.

Neurology

Documentation Requirements

Comprehensive neurological assessments and imaging studies.

Common Clinical Scenarios

Patients presenting with radiculopathy symptoms and requiring nerve conduction studies.

Billing Considerations

Document the neurological deficits and their correlation with imaging findings.

Coding Guidelines

Inclusion Criteria

Use M51.15 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including the presence of radiculopathy and the specific thoracolumbar levels affected
  • Ensure that the code reflects the most specific diagnosis based on clinical findings

Exclusion Criteria

Do NOT use M51.15 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, facetectomy, and foraminotomy

Clinical Scenario

Used in cases of severe radiculopathy requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Orthopedic surgeons must document the specific levels treated.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding intervertebral disc disorders, improving the ability to capture the complexity of conditions like M51.15, which includes radiculopathy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding intervertebral disc disorders, improving the ability to capture the complexity of conditions like M51.15, which includes radiculopathy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding intervertebral disc disorders, improving the ability to capture the complexity of conditions like M51.15, which includes radiculopathy.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between M51.15 and M51.14?

M51.15 includes the presence of radiculopathy associated with intervertebral disc disorders, while M51.14 does not include radiculopathy.