tci ED Coding & Reimbursement Alert - 2021 Issue Q3

Reader Questions: Get Specific When Coding Sciatica

Question: The ED physician diagnosed a patient with sciatica. Which code applies? Tennessee Subscriber Answer: Since ICD-10-CM offers different codes for sciatica depending upon the body’s affected side, you must check your provider’s medical documentation and confirm where the patient’s sciatica was located. You have these codes to look to for a sciatica diagnosis: M54.30 (Sciatica, unspecified side) M54.31 (Sciatica, right side) M54.32 (Sciatica, left side) Coding example: The physician documents that the patient has sciatica on her left side. You would report M54.32 for this condition. If your provider documents lumbago...

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