Lumbar Canal Stenosis With Sciatica - c

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Lumbar canal stenosis with sciatica

Publication Date: March 2006

Implementation Date: 1/07/2020

ICD 10 AM Edition: Fourth edition

Query Number: 2102

Question 1 In coding intervertebral lumbar disc displacement and sciatica, we are able to code the dagger and asterisk combination of M51.1 and G55.1. However if you have lumbar canal stenosis with sciatica, you are not able to use this code combination,: Stenosis,-spinal, -- with nerve root compression M48.0- and G55.3* The tabular code descriptions of G55.1 and G55.3 are the same, but include a different range of dagger codes. If nerve root compression must be documented to use the extra code, why is this not the same for intervertebral disc displacement, or is the anomaly with the indexing of the spinal canal stenosis? Question 2 When could you use G55.3 with M45-M46 and M53-M54 as I can find nothing in the index that allows you to use this combination?

Response

This query was originally published in March 2006 previously retired on 30 June 2010. It was reinstated effective 1 July 2020 following a review as the advice is considered current. The VICC sought advice from NCCH when preparing this response: Answer 1: The VICC agrees that there is no Index entry that allows you to use this combination for documentation of spinal stenosis with sciatica. As stated, there are other entries that index sciatica to nerve root and plexus compressions. However, it is not possible to cover every documentation combination in the index. Coders can and should use clinical knowledge to find synonymous terms when the term documented in the record is not found in the index, to try to fully cover the diagnoses. Clinical literature refers to sciatica as neuropathy of sciatic nerve and lumbar radiculopathy, one of the causes is stated to be nerve compression. Using this knowledge the correct code assignment in this case, of lumbar canal stenosis with sciatica, would be: Stenosis -spinal -- with nerve root compression M48.0- and G55.3* Similar advice was provided in VICC #1922 Spinal cord compression secondary to neoplasm. Answer 2: The NCCH is seeking advice on this issue from WHO URC. Back to top