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G54.4
Lumbosacral root disorders, not elsewhere classified
ICD10CM code
Medical Policies and Guidelines for Lumbosacral root disorders, not elsewhere classified
Related policies from health plans
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
CIGNA
Intraoperative Monitoring - (0509)
CIGNA
Peripheral Nerve Destruction for Pain Conditions - (0525)
Similar Codes
ICD10CM codes
G54.4
- Lumbosacral root disorders, not elsewhere classified
G54.3
- Thoracic root disorders, not elsewhere classified
G54.2
- Cervical root disorders, not elsewhere classified
G54.1
- Lumbosacral plexus disorders
M53.3
- Sacrococcygeal disorders, not elsewhere classified
M48.57
- Collapsed vertebra, not elsewhere classified, lumbosacral region
M49.87
- Spondylopathy in diseases classified elsewhere, lumbosacral region
M54.17
- Radiculopathy, lumbosacral region
G54.9
- Nerve root and plexus disorder, unspecified
M48.58
- Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region
HCPCS codes
L0999
- Addition to spinal orthosis, not otherwise specified
L1499
- Spinal orthosis, not otherwise specified
L2999
- Lower extremity orthoses, not otherwise specified
L5999
- Lower extremity prosthesis, not otherwise specified
L0630
- Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacr
L0643
- Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacr
L0640
- Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
L0628
- Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcyge
L0639
- Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
L0650
- Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s),
CPT4 codes
00630
- Anesthesia for procedures in lumbar region; not otherwise specified
63272
- Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar
63200
- Laminectomy, with release of tethered spinal cord, lumbar
63057
- Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniate
63268
- Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral
63270
- Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical
63055
- Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniate
63271
- Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic
63056
- Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniate
63012
- Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of caud