ICD Code M54.41

ICD code M54.41 is used to identify the medical condition known as "Lumbago with sciatica, right side." 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, this code indicates that a patient is experiencing lower back pain (lumbago) that is accompanied by sciatica, a condition where pain radiates along the path of the sciatic nerve, which runs down one or both legs from the lower back. In this case, the sciatica is affecting the right side of the body. This code helps healthcare providers document the condition accurately for treatment planning and billing purposes.

When to use the ICD code for lumbago with sciatica, right side:

1. Presence of Low Back Pain
- Patient reports persistent or recurrent pain in the lower back region.

2. Radiating Pain
- Pain radiates from the lower back down to the right leg, following the path of the sciatic nerve.

3. Numbness or Tingling
- Patient experiences numbness, tingling, or a "pins and needles" sensation in the right leg or foot.

4. Muscle Weakness
- Weakness in the right leg, making it difficult to move or bear weight.

5. Aggravation of Symptoms
- Symptoms worsen with certain movements, such as bending, lifting, or prolonged sitting.

6. Relief with Position Changes
- Patient finds relief when changing positions, such as lying down or walking.

7. Duration of Symptoms
- Symptoms have been present for a specific duration, typically more than a few days, indicating a chronic condition.

8. Exclusion of Other Conditions
- Other potential causes of lower back pain and sciatica have been ruled out through clinical evaluation or imaging studies.

9. Impact on Daily Activities
- The condition significantly affects the patient's ability to perform daily activities or work-related tasks.

10. Response to Conservative Treatment
- Patient has undergone conservative treatment measures (e.g., physical therapy, medication) without sufficient improvement.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code.

For the ICD code M54.41, which pertains to lumbago with sciatica on the right side, the relevant CPT codes that may be applicable for treatment include:

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

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

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

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

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

6. CPT 99213 - Established patient office or other outpatient visit, typically 15 minutes.

These CPT codes are commonly used for procedures and services that may be involved in the treatment of conditions associated with the ICD code M54.41. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical scenario.

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