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M54.31

Billable

Sciatica, right side

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

What This Code Means

Pain radiating along the right sciatic nerve from the lower back through the buttock and down the right leg.

Coding Tips

  • •Always specify laterality when documented; do not use M54.30 if right side is mentioned
  • •Confirm sciatica diagnosis is documented; do not use for general right leg pain without sciatic nerve involvement

Code Hierarchy

└M54Dorsalgia└M54.3Sciatica└M54.31Sciatica, right side
└M54.31Sciatica, right side

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