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M54.40

Billable

Lumbago with sciatica, unspecified side

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

What This Code Means

Lower back pain combined with sciatic nerve pain when the affected side is not specified or documented.

Coding Tips

  • •Use this code only when documentation does not specify right or left side
  • •Query provider if laterality can be determined from clinical notes or imaging reports

Code Hierarchy

└M54Dorsalgia└M54.4Lumbago with sciatica└M54.40Lumbago with sciatica, unspecified side
└M54.40Lumbago with sciatica, unspecified side

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