ICD-10 codes for Sciatica

The primary ICD-10-CM codes for sciatica are M54.3, M54.30, M54.31. Across all sub-categories, 40 codes are grouped under sciatica, with 33 marked as billable (specific enough for a medical claim).

There are 40 ICD-10-CM codes related to sciatica. Of these, 33 are billable specific codes and 7 are non-billable header categories that organize the specific codes underneath them. Header codes cannot be reported on a claim by themselves.

Yes. 33 of the 40 ICD-10-CM codes for sciatica are billable. Common examples include M54.00 (Panniculitis affecting regions of neck and back, site unsp); M54.01 (Panniculitis aff regions of neck/bk, occipt-atlan-ax region); M54.02 (Panniculitis affecting regions of neck/bk, cervical region). Code to the highest level of specificity supported by the documentation.

The most commonly used billable codes for sciatica include: M54.00 (Panniculitis affecting regions of neck and back, site unsp); M54.01 (Panniculitis aff regions of neck/bk, occipt-atlan-ax region); M54.02 (Panniculitis affecting regions of neck/bk, cervical region). The correct code depends on the documented clinical presentation, including any complications, episode (acute / chronic), and laterality where applicable. Always code to the highest level of specificity supported by the clinical documentation.

No, M54.3 (Sciatica) is a non-billable header code. You need to use a more specific child code for billing purposes.

The ICD-10 codes for sciatica map to at least 25 SNOMED CT concepts. Examples of SNOMED CT concept IDs in this group include 60033003, 202770004, 317151000119105, 317201000119102, 317161000119107. SNOMED CT is a clinical terminology used in electronic health records; AutoICD's coding API returns SNOMED CT IDs alongside each ICD-10 code via the include_snomed=true flag.

The ICD-10 codes for sciatica are linked to at least 25 UMLS CUIs in the National Library of Medicine's Metathesaurus. Sample CUIs include C0004604, C0494971, C0838790, C0838791, C0838792. UMLS CUIs unify the same concept across SNOMED CT, ICD-10, ICD-11, RxNorm, MeSH, and dozens of other source vocabularies.

Sciatica may also be referred to as: sciatica, lumbar radiculopathy, leg pain from back, sciatic nerve pain. The same ICD-10-CM codes apply regardless of which term appears in the clinical documentation. Synonyms are surfaced by AutoICD's NER pass and mapped to the canonical ICD-10 family above.