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2025 ICD-10-CM code G57.0

Lesion of sciatic nerve

Code G57.0 should be used to report the lesion of the sciatic nerve itself. Additional codes may be necessary to specify the underlying etiology, such as a herniated disc or spinal stenosis. Do not use G57.0 for sciatica NOS (M54.3-) or sciatica attributed to an intervertebral disc disorder (M51.1-).

Medical necessity for treatment of sciatic nerve lesions must be established by demonstrating functional limitations and the impact on the patient's quality of life. The documentation should support the chosen treatment plan, whether it be conservative management or surgical intervention.

Diagnosis and treatment of sciatic nerve lesions are typically managed by neurologists, orthopedic surgeons, physiatrists (rehabilitation specialists), or pain management specialists.The physician's role involves evaluating the patient's symptoms, medical history, and conducting physical and neurological exams. Diagnostic tests like electromyography (EMG), nerve conduction velocity (NCV), MRI, and X-rays may be ordered. Treatment options may range from conservative measures such as medication, physical therapy, and injections to surgical intervention in severe cases.

In simple words: Sciatic nerve damage causing leg pain, numbness, or weakness.

A lesion of the sciatic nerve refers to damage or injury to the sciatic nerve, the largest nerve in the body, which runs from the lower back down each leg. This condition can cause pain, numbness, tingling, weakness, or difficulty moving the leg or foot.

Example 1: A 45-year-old patient presents with sharp, radiating pain down the back of their left leg, along with numbness in the foot. An MRI reveals a herniated disc compressing the sciatic nerve root. The diagnosis is a lesion of the sciatic nerve (G57.0) due to disc herniation., A 60-year-old patient experiences chronic lower back pain that extends to the buttocks and thigh. Physical therapy and medication provide minimal relief. Imaging studies reveal spinal stenosis narrowing the spinal canal and compressing the sciatic nerve. The patient's condition is coded as G57.0 due to spinal stenosis., Following a motorcycle accident, a 30-year-old patient experiences weakness and decreased sensation in their right leg. Examination and imaging reveal a traumatic injury to the sciatic nerve. G57.0 is used to document this lesion.

Documentation should include details about the location, nature, and severity of the lesion, as well as the underlying cause (e.g., herniated disc, trauma). Patient-reported symptoms like pain, numbness, tingling, and muscle weakness should also be documented. Results of physical exams, neurological evaluations, and imaging studies should be included.

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