Lumbago with sciatica
ICD-10 M54.4 is a billable code used to indicate a diagnosis of lumbago with sciatica.
Lumbago with sciatica refers to lower back pain (lumbago) that is accompanied by pain radiating down the leg, typically following the path of the sciatic nerve. This condition often arises from lumbar disc herniation, spinal stenosis, or degenerative disc disease, leading to nerve root compression. Patients may experience symptoms such as sharp or burning pain, numbness, and weakness in the affected leg. The pain can be exacerbated by prolonged sitting, standing, or certain movements. Diagnosis is primarily clinical, supported by imaging studies like MRI or CT scans to identify underlying causes. Treatment options vary and may 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. The prognosis is generally favorable with appropriate treatment, but chronic cases can lead to persistent pain and disability.
Detailed history of present illness, physical examination findings, imaging results, and treatment plan.
Patients presenting with acute or chronic low back pain with radicular symptoms.
Ensure documentation reflects the severity and functional limitations caused by the condition.
Comprehensive assessment of functional status, pain levels, and response to therapy.
Patients undergoing rehabilitation for sciatica-related pain.
Focus on documenting progress and functional improvements over time.
Used in surgical treatment of lumbar spinal stenosis causing sciatica.
Document the indication for surgery, pre-operative assessments, and post-operative care.
Orthopedic surgeons should ensure detailed operative notes are provided.
M54.4 specifically includes sciatica as a symptom of lumbago, while M54.5 refers to low back pain without sciatica.
