Neurosurgery Coding Alert
Reader Question:
Check Side of Body Impacted to Choose Correct ICD-10 Code
Published on Tue Apr 07, 2020
Question: What ICD-10 code should I report of the physician documented lumbago with sciatica? Maine Subscriber Answer: You must first check the medical documentation to see on which side of the patient’s body the symptoms occurred. For lumbago with sciatica on the right side, report M54.41 (Lumbago with sciatica, right side). For the same symptoms on the left side, you should report code M54.42 (Lumbago with sciatica, left side). When your physician does not document which side the symptoms were present, you should report code M54.40 (Lumbago with sciatica, unspecified side).
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