M51.362: Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain
M51.362 is a billable, specific ICD-10-CM code for other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain. It is valid for submission on a claim.
Check M51.362 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Other intervertebral disc degeneration, lumbar region with discogenic back pain and leg pain
- Other intervertebral disc degeneration, lumbar region with axial back pain and referred sclerotomal pain
Excludes2 inherited from the categories above M51.362
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with M51.362
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M54.4Lumbago with sciatica
- M54.6Pain in thoracic spine
- S23.0Traumatic rupture of thoracic intervertebral disc
- S23.0XXATraumatic rupture of thoracic intervertebral disc, initial encounter
- S23.0XXDTraumatic rupture of thoracic intervertebral disc, subsequent encounter
- S23.0XXSTraumatic rupture of thoracic intervertebral disc, sequela
- S33Dislocation and sprain of joints and ligaments of lumbar spine and pelvis
- S33.0Traumatic rupture of lumbar intervertebral disc
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M51.362 is named in 30 Medicare coverage policies: 23 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Code history
- addedFY2024-FY2027
Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain
Other codes under M51.36
- M51.360Other intervertebral disc degeneration, lumbar region with discogenic back pain only
- M51.361Other intervertebral disc degeneration, lumbar region with lower extremity pain only
- M51.369Other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity pain