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M54.17
Radiculopathy, lumbosacral region
ICD10CM code
Medical Policies and Guidelines for Radiculopathy, lumbosacral region
Related policies from health plans
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
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Intraoperative Monitoring - (0509)
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Peripheral Nerve Destruction for Pain Conditions - (0525)
SUNFLOWER
Caudal or Interlaminar Epidural Steroid Injections (PDF)
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Similar Codes
ICD10CM codes
M54.17
- Radiculopathy, lumbosacral region
M54.16
- Radiculopathy, lumbar region
M54.18
- Radiculopathy, sacral and sacrococcygeal region
M54.15
- Radiculopathy, thoracolumbar region
M47.27
- Other spondylosis with radiculopathy, lumbosacral region
M51.17
- Intervertebral disc disorders with radiculopathy, lumbosacral region
M54.14
- Radiculopathy, thoracic region
M54.12
- Radiculopathy, cervical region
M54.13
- Radiculopathy, cervicothoracic region
M54.1
- Radiculopathy
HCPCS codes
L0628
- Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcyge
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
L0631
- Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
L0648
- Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
L0640
- Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
L0639
- Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
L0633
- Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior ext
L0650
- Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s),
L0637
- Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, po
CPT4 codes
72100
- Radiologic examination, spine, lumbosacral; 2 or 3 views
72265
- Myelography, lumbosacral, radiological supervision and interpretation
63200
- Laminectomy, with release of tethered spinal cord, lumbar
72110
- Radiologic examination, spine, lumbosacral; minimum of 4 views
72120
- Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views
72114
- Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views
63278
- Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral
63190
- Laminectomy with rhizotomy; more than 2 segments
63268
- Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral
63287
- Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar