ICD Code M53.86

ICD code M5386 is used to identify "Other specified dorsopathies, lumbar region." This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, M5386 refers to various disorders affecting the lumbar region of the spine that do not fall under more specific categories. The lumbar region is the lower part of the back, and dorsopathies are conditions related to the spine. This code is typically used when a patient has a spinal condition in the lumbar area that is not otherwise specified in the ICD coding system.

When to use the ICD code M53.86 for other specified dorsopathies in the lumbar region, consider the following diagnostic criteria and symptoms:

1. Chronic or Acute Lumbar Pain
- Persistent or intermittent pain localized in the lower back region.

2. Limited Range of Motion
- Difficulty in bending, twisting, or straightening the back.

3. Muscle Spasms
- Involuntary contractions or tightness in the muscles of the lower back.

4. Radiating Pain
- Pain that extends from the lower back into the buttocks, thighs, or legs.

5. Numbness or Tingling
- Sensations of numbness or tingling in the lower extremities.

6. Weakness in the Lower Extremities
- Decreased strength or coordination in the legs or feet.

7. History of Trauma or Injury
- Recent or past injuries to the lumbar region that may contribute to symptoms.

8. Degenerative Changes
- Evidence of degenerative disc disease or other age-related changes in the lumbar spine.

9. Inflammatory Conditions
- Presence of inflammatory disorders affecting the lumbar region.

10. Previous Treatment Failures
- Lack of improvement after conservative treatments such as physical therapy or medication.

11. Associated Conditions
- Coexisting conditions such as obesity, osteoporosis, or other musculoskeletal disorders that may exacerbate lumbar symptoms.

12. Diagnostic Imaging Findings
- Results from MRI, CT scans, or X-rays indicating abnormalities in the lumbar spine.

Using the ICD code M53.86 is appropriate when these criteria and symptoms are present, indicating a specific diagnosis related to dorsopathies in the lumbar region.

For the ICD code M53.86, which pertains to "Other specified dorsopathies, lumbar region," the relevant CPT codes that may be applicable for treatment include:

1. 99201-99205 - New patient office or other outpatient visit for the evaluation and management of a patient.

2. 99211-99215 - Established patient office or other outpatient visit for the evaluation and management of a patient.

3. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.

4. 97112 - Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities.

5. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

6. 20552 - Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s).

7. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa).

8. 62322 - Injection(s), of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance.

9. 64483 - Injection(s), anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level.

10. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

These CPT codes are examples of procedures and services that may be used in the treatment of conditions associated with the ICD code M53.86. It's important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the patient's clinical needs.

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