ICD-10-CM Code M54.41

Lumbago with sciatica, right side

Version 2020 Billable Code Orthopedics

Valid for Submission

M54.41 is a billable code used to specify a medical diagnosis of lumbago with sciatica, right side. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M54.41 might also be used to specify conditions or terms like bilateral sciatic nerve disorder, bilateral sciatica, disorder of left sciatic nerve, disorder of right sciatic nerve, left side sciatica, low back pain co-occurrent and due to bilateral sciatica, etc

The code is commonly used in orthopedics medical specialties to specify clinical concepts such as neck and back pain.

ICD-10:M54.41
Short Description:Lumbago with sciatica, right side
Long Description:Lumbago with sciatica, right side

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bilateral sciatic nerve disorder
  • Bilateral sciatica
  • Disorder of left sciatic nerve
  • Disorder of right sciatic nerve
  • Left side sciatica
  • Low back pain co-occurrent and due to bilateral sciatica
  • Lumbago co-occurrent with right-side sciatica
  • Lumbago co-occurrent with right-side sciatica
  • Lumbago with sciatica
  • Lumbago with sciatica
  • Neuralgia of nerve of left lower limb
  • Neuralgia of nerve of right lower limb
  • Pain of bilateral thighs
  • Pain of left thigh
  • Pain of right thigh
  • Right side sciatica

Diagnostic Related Groups

The ICD-10 code M54.41 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 551 - MEDICAL BACK PROBLEMS WITH MCC
  • 552 - MEDICAL BACK PROBLEMS WITHOUT MCC

Convert M54.41 to ICD-9

  • 724.3 - Sciatica (Approximate Flag)

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


Back Pain

If you've ever groaned, "Oh, my aching back!", you are not alone. Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point during their lives. Back pain can range from a dull, constant ache to a sudden, sharp pain. Acute back pain comes on suddenly and usually lasts from a few days to a few weeks. Back pain is called chronic if it lasts for more than three months.

Most back pain goes away on its own, though it may take awhile. Taking over-the-counter pain relievers and resting can help. However, staying in bed for more than 1 or 2 days can make it worse.

If your back pain is severe or doesn't improve after three days, you should call your health care provider. You should also get medical attention if you have back pain following an injury.

Treatment for back pain depends on what kind of pain you have, and what is causing it. It may include hot or cold packs, exercise, medicines, injections, complementary treatments, and sometimes surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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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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