ICD-10-CM Code M54.3

Sciatica

Version 2020 Non-Billable Code

Not Valid for Submission

M54.3 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of sciatica. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M54.3
Short Description:Sciatica
Long Description:Sciatica

Consider the following ICD-10 codes with a higher level of specificity:

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M54.3:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • lesion of sciatic nerve G57.0
  • sciatica due to intervertebral disc disorder M51.1
  • sciatica with lumbago M54.4

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M54.3 are found in the index:


Clinical Information

  • SCIATICA-. a condition characterized by pain radiating from the back into the buttock and posterior/lateral aspects of the leg. sciatica may be a manifestation of sciatic neuropathy; radiculopathy involving the spinal nerve roots; l4 l5 s1 or s2 often associated with intervertebral disk displacement; or lesions of the cauda equina.

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Sciatica

Sciatica is a symptom of a problem with the sciatic nerve, the largest nerve in the body. It controls muscles in the back of your knee and lower leg and provides feeling to the back of your thigh, part of your lower leg, and the sole of your foot. When you have sciatica, you have pain, weakness, numbness, or tingling. It can start in the lower back and extend down your leg to your calf, foot, or even your toes. It's usually on only one side of your body.

Causes of sciatica include

  • A ruptured intervertebral disk
  • Narrowing of the spinal canal that puts pressure on the nerve, called spinal stenosis
  • An injury such as a pelvic fracture.

In many cases no cause can be found.

Sometimes sciatica goes away on its own. Treatment, if needed, depends on the cause of the problem. It may include exercises, medicines, and surgery.


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