Find information on lumbar radicular pain diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10 codes for lumbar radiculopathy, radicular pain syndrome, and lower back pain with radiculopathy. Explore treatment options, symptoms, and diagnostic criteria for lumbar radicular pain. This resource offers guidance for healthcare professionals on accurate coding and documentation for lumbar spine nerve root compression and related conditions.
Also known as
Radiculopathy, lumbar region
Pinched nerve in the lower back causing pain.
Other intervertebral disc disorders
Problems with discs in the spine can lead to radicular pain.
Chronic pain due to trauma
Lasting pain from an injury may cause lumbar radicular pain.
Myalgia
Muscle pain in the lumbar region can sometimes mimic radicular pain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the radicular pain due to a herniated disc?
Yes
Site of herniation?
No
Due to spinal stenosis?
When to use each related code
Description |
---|
Lumbar Radicular Pain |
Lumbar Spinal Stenosis |
Lumbar Disc Herniation |
Using non-specific codes like M54.5 (low back pain) instead of more precise radicular pain codes (M54.1x) impacting reimbursement and data accuracy.
Missing laterality modifiers (right, left, bilateral) for M54.1x, leading to claim denials and inaccurate pain representation.
Failing to code the underlying cause of radicular pain (e.g., disc herniation) with M54.1x, affecting clinical documentation integrity and quality metrics.
Patient presents with complaints of lumbar radicular pain, also described as lumbar radiculopathy and sciatica. Onset of symptoms began approximately [duration] ago and is characterized by radiating pain extending from the lower back down the leg, following the [specify nerve root distribution, e.g., L5 dermatome]. Patient reports the pain as [character of pain, e.g., sharp, burning, shooting] and rates its severity as [pain scale rating] on a 0-10 scale. Associated symptoms include [list associated symptoms, e.g., numbness, tingling, muscle weakness] in the [affected extremity]. Aggravating factors include [list aggravating factors, e.g., bending, lifting, prolonged sitting], and alleviating factors include [list alleviating factors, e.g., lying down, medication]. Physical examination reveals [objective findings, e.g., positive straight leg raise test, diminished reflexes, decreased sensation]. Differential diagnoses considered include herniated disc, lumbar spinal stenosis, and piriformis syndrome. Assessment: Lumbar radicular pain likely secondary to [presumptive etiology, e.g., L4-L5 disc herniation]. Plan: Conservative management initiated with NSAIDs, physical therapy referral for lumbar stabilization exercises, and patient education on proper body mechanics. Follow-up scheduled in [duration] to assess response to treatment. Further diagnostic studies, including MRI of the lumbar spine, may be considered if symptoms persist or worsen. ICD-10 code: [appropriate ICD-10 code, e.g., M54.16].