2025 ICD-10-CM code M51.1
(Active) Effective Date: N/A Dorsopathies - Other dorsopathies (M50-M54) Diseases of the musculoskeletal system and connective tissue (M00-M99) Feed
Thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders with radiculopathy. Sciatica due to intervertebral disc disorder.
Medical necessity for treatment is established by the presence of symptoms and functional limitations impacting the patient's quality of life.
Providers diagnose this condition based on a physical exam, including a neurological check of sensation, muscle strength, and reflexes. Imaging like X-rays, CT scans, MRI, and nerve conduction studies may also be used.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- M51 - Intervertebral disc disordersM51.1 - Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
In simple words: This code describes a problem with the discs in your upper, middle, or lower back, causing pain, numbness, or tingling that spreads down your legs. It's like a pinched nerve in your back.
Thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders with radiculopathy refers to inflammation or entrapment of the spinal nerve roots that results from displacement or degeneration of a disc, loss of disc height, or annular fissure or tear of a disc, of the upper, mid, and lower back due to specific injury or generalized wear and tear of the disc with aging.This condition results in nerve compression leading to burning, tingling, numbness, and radiating pain in the upper, mid, and lower back and lower extremities with restricted movement.
Example 1: A patient presents with burning pain radiating down the left leg, numbness in the toes, and a positive straight leg raise test, consistent with lumbosacral radiculopathy., A patient experiences sharp pain in the mid-back and chest, accompanied by tingling and numbness, after lifting a heavy object, indicating possible thoracic radiculopathy., A patient reports persistent lower back pain that spreads to the buttocks and thigh, aggravated by bending and twisting, and imaging reveals a herniated disc at L4-L5 with nerve root compression.
Documentation should include details of the patient's pain, neurological findings, imaging results, and response to treatment. Medical history, physical exam findings, and diagnostic test results should support the diagnosis.
** Excludes1: lumbar radiculitis NOS (M54.16), sciatica NOS (M54.3). Excludes2: cervical and cervicothoracic disc disorders (M50.-) sacral and sacrococcygeal disorders (M53.3)
- Specialties:Neurology, Orthopedics, Pain Management, Physiatry, Primary Care
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Independent Clinic, etc.