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.
Inclusion 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
Other codes that can never be billed with M51.362
These codes carry an Excludes1 note pointing at M51.362. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M51.362 alone.
- M54.4Lumbago with sciatica
Risk adjustment
M51.362 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M51.362 is named in 30 Medicare coverage policies — 24 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Related codes at this level
Codes that share M51.36. If M51.362 is not quite right, the correct code is usually one of these.
- 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
Questions about M51.362
- Is M51.362 a billable ICD-10-CM code?
- Yes. M51.362 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M51.362 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other dorsopathies (M50-M54).