ICD Code M54.06

ICD code M54.06 is used to identify a medical condition known as panniculitis affecting the lumbar region of the neck and back. Panniculitis refers to the inflammation of the subcutaneous fat layer beneath the skin, which can lead to painful nodules or lumps. When this condition occurs in the lumbar region, it specifically affects the lower back area, potentially causing discomfort and mobility issues for the patient. This code is crucial for healthcare providers to accurately document and manage the treatment of this specific condition, ensuring appropriate care and facilitating efficient billing and reimbursement processes.

When to use the ICD code M5406, pertaining to panniculitis affecting regions of the neck and back, lumbar region, consider the following diagnostic criteria and symptoms:

1. Presence of Panniculitis: Confirm the diagnosis of panniculitis through clinical evaluation and imaging studies.

2. Affected Areas: Identify involvement of the neck, back, and lumbar region specifically, as these are the targeted anatomical sites.

3. Symptoms:

- Pain or tenderness in the affected areas.

- Swelling or inflammation of the subcutaneous tissue.

- Presence of nodules or lumps in the skin.

- Erythema (redness) over the affected regions.

- Possible drainage or ulceration if there is an associated infection.

4. Duration of Symptoms: Document the duration of symptoms, particularly if they have been persistent or recurrent.

5. Exclusion of Other Conditions: Rule out other potential causes of similar symptoms, such as infections, trauma, or other dermatological conditions.

6. Patient History: Consider the patient's medical history, including any previous episodes of panniculitis or related conditions.

7. Laboratory Findings: If applicable, include any relevant laboratory findings that support the diagnosis, such as elevated inflammatory markers.

8. Response to Treatment: Note any previous treatments and their effectiveness, which may help in confirming the diagnosis.

By adhering to these criteria, healthcare providers can ensure accurate coding and appropriate documentation for the condition.

For the ICD code M54.06, which pertains to panniculitis affecting regions of the neck and back, lumbar region, the relevant CPT codes that may be applicable for treatment include:

1. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

2. 20610 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

3. 64450 - Injection, anesthetic agent; other peripheral nerve or branch.

4. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

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

These CPT codes are examples of procedures that might be used in the management or treatment of conditions associated with the ICD code M54.06. It's important for healthcare providers to select the most appropriate CPT code based on the specific treatment plan and services provided to the patient.

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