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G54.1
Lumbosacral plexus disorders
ICD10CM code
Medical Policies and Guidelines for Lumbosacral plexus disorders
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
G54.1
- Lumbosacral plexus disorders
S34.4
- Injury of lumbosacral plexus
G54.4
- Lumbosacral root disorders, not elsewhere classified
G54.0
- Brachial plexus disorders
G54.8
- Other nerve root and plexus disorders
G54
- Nerve root and plexus disorders
M54.17
- Radiculopathy, lumbosacral region
M54.4
- Lumbago with sciatica
S34.4XXA
- Injury of lumbosacral plexus, initial encounter
S34.4XXD
- Injury of lumbosacral plexus, subsequent encounter
HCPCS codes
L0628
- Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcyge
L0650
- Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s),
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
L0636
- Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, late
L0631
- Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
L0639
- Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
L0635
- Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), la
L0648
- Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
CPT4 codes
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
63056
- Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniate
64714
- Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus
63012
- Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of caud
64636
- Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluorosc
72265
- Myelography, lumbosacral, radiological supervision and interpretation
00632
- Anesthesia for procedures in lumbar region; lumbar sympathectomy
64635
- Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluorosc
72100
- Radiologic examination, spine, lumbosacral; 2 or 3 views