What is the ICD-10 code for buttocks pain?

The ICD-10 code for buttocks pain can vary based on the underlying cause, such as M54.30 for sciatica or G57.01 for piriformis syndrome.

How do you differentiate between sciatica and piriformis syndrome?

Sciatica typically involves radicular pain with neurological deficits, while piriformis syndrome presents with pain in the sciatic notch and a positive FAIR test without neurological deficits.

ICD-10 Coding for Buttocks Pain(M54.30, G57.0, G57.01)

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Explore ICD-10 coding for buttocks pain, including sciatica and piriformis syndrome. Learn about documentation requirements and common coding pitfalls.

Also known as:

Gluteal PainPiriformis SyndromeSciatica

Related ICD-10 Code Ranges

Complete code families applicable to Buttocks Pain

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
M54.30	Sciatica, unspecified side	Use when sciatica is diagnosed without specifying laterality.	Pain radiating from lumbar spine to buttock/leg Neurological deficits present
G57.01	Piriformis syndrome, right side	Use when piriformis syndrome is confirmed with positive FAIR test.	Tenderness over sciatic notch Pain reproduced with FAIR maneuver No neurological deficits
R10.2	Pelvic and perineal pain	Use for pain localized to the pelvic region without radiation.	Localized pelvic tenderness No radiation beyond groin

Primary ICD-10-CM Codes

Sciatica, unspecified side

M54.30Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Piriformis syndrome, right sideG57.01

Sciatica, right sideM54.31

Documentation & Coding Risks

Avoid these common issues when documenting Buttocks Pain.

Documenting 'sciatica' without laterality

Impact

Clinical: Inaccurate clinical data representation., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials or incorrect reimbursement.

Mitigation

Always specify right or left side in documentation., Use templates to ensure completeness.

Using M54.5 for radiation past buttock

Impact

Reimbursement: Incorrect DRG assignment may occur., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Use M54.3- or G57.0- for radicular pain.

Laterality Documentation

Impact

Failure to document laterality can lead to coding errors.

Mitigation

Implement documentation checks for laterality.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M54.30.

Primary Code

M54.30

Sciatica, unspecified side

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ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Buttocks Pain(M54.30, G57.0, G57.01)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for buttocks pain?

How do you differentiate between sciatica and piriformis syndrome?

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