What is the ICD-10 code for lumbar stenosis with radiculopathy?

The ICD-10 code for lumbar stenosis with radiculopathy is M48.06, used when stenosis is the primary cause. If radiculopathy is due to spondylosis, use M47.26.

How do you document lumbar stenosis with radiculopathy?

Document lumbar stenosis with radiculopathy by including imaging findings, specific levels affected, and correlating clinical symptoms. Exclude spondylosis or disc disorders if using M54.16.

ICD-10 Coding for Lumbar Stenosis with Radiculopathy(M48.06, M47.2, M47.26)

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Learn about the ICD-10 coding for lumbar stenosis with radiculopathy, including code relationships, documentation requirements, and common pitfalls.

Also known as:

Spinal Stenosis with Nerve Root CompressionLumbar Canal Stenosis with Sciatica

Related ICD-10 Code Ranges

Complete code families applicable to Lumbar Stenosis with Radiculopathy

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
M48.06	Spinal stenosis, lumbar region	Use when lumbar spinal stenosis is confirmed by imaging and correlates with clinical symptoms.	MRI or CT showing lumbar spinal stenosis Clinical correlation with symptoms of nerve compression
M54.16	Radiculopathy, lumbar region	Use when radiculopathy is present without spondylosis or disc disorders.	Electromyography confirming radiculopathy Clinical symptoms consistent with nerve root compression
M47.26	Other spondylosis with radiculopathy, lumbar region	Use when radiculopathy is due to degenerative spondylosis.	Imaging showing spondylosis with nerve root compression Clinical symptoms consistent with radiculopathy

Primary ICD-10-CM Codes

Spinal stenosis, lumbar region

M48.06

Differential Codes

Alternative codes to consider when ruling out similar conditions

Other spondylosis with radiculopathy, lumbar regionM47.26

Use when radiculopathy is due to spondylosis rather than stenosis.

Intervertebral disc disorders with radiculopathy, lumbar regionM51.16

Use when radiculopathy is due to disc herniation.

Spinal stenosis, lumbar regionM48.06

Use when stenosis is the primary cause of radiculopathy.

Documentation & Coding Risks

Avoid these common issues when documenting Lumbar Stenosis with Radiculopathy.

Vague documentation of symptoms without imaging correlation.

Impact

Clinical: Leads to misdiagnosis and inappropriate treatment plans., Regulatory: Fails to meet documentation standards., Financial: Results in claim denials or reduced reimbursement.

Mitigation

Ensure detailed documentation of imaging findings., Correlate clinical symptoms with imaging results.

Using M54.16 for radiculopathy caused by spondylosis.

Impact

Reimbursement: Incorrect coding can lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data and patient records.

Mitigation

Use M47.26 when spondylosis is the cause.

Incorrect code selection

Impact

Using M54.16 when spondylosis is present.

Mitigation

Implement regular training on code differentiation.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M48.06.

Primary Code

M48.06

Spinal stenosis, lumbar region

Quick Navigation

ICD-10 codes8

Coding risks3

FAQs2

ICD-10 Coding for Lumbar Stenosis with Radiculopathy(M48.06, M47.2, M47.26)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for lumbar stenosis with radiculopathy?

How do you document lumbar stenosis with radiculopathy?

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