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M51.16

Billable

Intervertebral disc disorders with radiculopathy, lumbar region

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where a disc in the lower back (lumbar spine) is damaged or displaced, irritating a nerve root and causing pain, numbness, or weakness radiating down the leg.

Coding Tips

  • This is one of the most common disc-related codes; document which nerve root is affected (L3, L4, L5, or S1) for specificity
  • Sciatica is often associated with L5 or S1 radiculopathy; use this code when disc displacement is confirmed as the cause

Code Hierarchy

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