S34.4XXS Injury of lumbosacral plexus, sequela

ICD10CM code

#### Name of the Condition
- **Injury of Lumbosacral Plexus, Sequela**
- Technical Term: S34.4XXS

#### Summary
Injury of the lumbosacral plexus refers to damage affecting the network of nerves in the lower back and pelvis, which can have lasting effects, known as sequela. These nerves are crucial for leg movement and sensation.

#### Causes
- Trauma or injury from accidents.
- Surgical complications.
- Pressure from tumors or infections.

#### Risk Factors
- Participation in high-impact sports or activities.
- Previous pelvic or spinal surgery.
- Chronic infections or diseases affecting the pelvic area.

#### Symptoms
- Persistent pain in the lower back or legs.
- Weakness in the hips, buttocks, or legs.
- Sensory changes like numbness or tingling.

#### Diagnosis
- Physical examination focusing on nerve function.
- Imaging tests such as MRI or CT scans to assess damage.
- Electromyography (EMG) to evaluate nerve activity.

#### Treatment Options
- Physical therapy to regain strength and mobility.
- Pain management strategies, including medications.
- In some cases, surgical intervention to alleviate pressure on nerves.

#### Prognosis and Follow-Up
- Varies based on severity and response to treatment.
- Regular follow-up is crucial to manage symptoms and prevent complications.

#### Complications
- Chronic pain or permanent nerve damage if untreated.
- Disability due to loss of motor function.

#### Lifestyle & Prevention
- Avoid high-risk activities that may lead to injury.
- Maintain a healthy weight and posture to reduce spinal stress.
- Early intervention at the first signs of nerve injury.

#### When to Seek Professional Help
- Sudden onset of severe pain in the lower back or legs.
- Loss of movement or sensation in the lower limbs.
- Symptoms worsening despite treatment.

#### Additional Resources
- **American Academy of Neurology**: [AAN.com](https://www.aan.com)
- **Spinal Injury Association**: [spinal.co.uk](https://www.spinal.co.uk)

#### Tips for Medical Coders
- Ensure the sequela is correctly noted with the code S34.4XXS.
- Double-check documentation for clarity on the chronic nature of symptoms.
- Avoid confusing acute injury codes with sequela indicators.

Medical Policies and Guidelines for Injury of lumbosacral plexus, sequela

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