M54.41 – Lumbago with sciatica, right side

Learn all about the ICD-10-CM code M54.41 for Lumbago with sciatica on the right side, including what its clinical description is, if it’s billable or not, what its synonyms are, what other ICD codes are related to it, and a few FAQs.

By Alex King on Jun 16, 2024.

Fact Checked by Nate Lacson.

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M54.41 Diagnosis Code: Lumbago with sciatica, right side Is the M54.41 billable?M54.41 Clinical Information M54.41 synonyms include Other ICD-10 codes commonly used for Lumbago and Sciatica FAQS

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M54.41 Diagnosis Code: Lumbago with sciatica, right side

The M54.41 is an ICD code included in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), and it is used to designate Lumbago with sciatica on the right side of the body.

Lumbago is an old term for lower back pain. Lumbago is specifically a “condition” in which a person’s lower back muscles tense up. It is characterized by a pain that radiates to other parts of the lower back, and in some cases, down to the legs.

On the other hand, Sciatica is a condition in which the legs are in pain. They also become numb and weak, and at times, the person with Sciatica will feel a tingling sensation in their legs.

In the case of this ICD code, the patient has both Lumbago and Sciatica, and the latter is specifically in their right leg.

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Is the M54.41 billable?

Yes, this M54.41 ICD-10-CM code is billable and healthcare providers/professionals can use it to indicate a diagnosis for reimbursement purposes.

M54.41 Clinical Information

If a patient attends a consultation with you and they mention that they feel pain in their lower back, that might be an indication of Lumbago. However, lower back pain is caused by other potential problems, not just Lumbago. It’s best to have them elaborate on what they’re feeling.

Lumbago symptoms include the following:

Severe pain the lower back that spreads out
They have a hard time standing up, sitting down, and walking
Numbness or tingling in the lower back

Sometimes, the pain that the patient feels due to Lumbago can trickle down to the buttocks area and even down to the foot. If they feel pain, numbness, weakness, and even tingling in their legs, then, not only do they have Lumbago, but they also have Sciatica.

To confirm if the patient has signs that they have both, the healthcare professional should conduct a comprehensive examination and imaging tests.

Once it’s confirmed that the problem is Lumbago with Sciatica (on the right side, in the context of this ICD-10 code), then a treatment plan can be implemented.

Lumbago is normally treated by resting, taking medicine, using cold packs, and taking physical therapy. Same with Sciatica. Given this, they should go away after at least three days. If it doesn’t get better and the pain just worsens, then surgery might be a good option. It’s best to try non-invasive treatment first before major ones like surgery.

M54.41 synonyms include:

Lumbago with sciatica
Lumbago co-occurrent with right-side sciatica
Bilateral sciatica
Disorder of right sciatic nerve
Low back pain co-occurrent and due to bilateral sciatica
Pain of bilateral thighs
Right side sciatica

Other ICD-10 codes commonly used for Lumbago and Sciatica:

M54.5 - Low back pain
M54.50 - Low back pain, unspecified
M54.3 - Sciatica
M54.30 - Sciatica, unspecified side
M54.31 - Sciatica, right side
M54.32 - Sciatica, left side
M54.4 - Lumbago with sciatica
M54.40 - Lumbago with sciatica, unspecified side
M54.42 - Lumbago with sciatica, left side

Commonly asked questions

Is the M54.41 billable?

Yes, this ICD-10 code is billable.

When can I use the M54.41 diagnosis code?

When you’ve properly confirmed using physical examination techniques and imaging tests that the patient’s problem is Lumbago as well as Sciatica on the right side, the, you can use this code.

How is Lumbago and Sciatica normally treated?

It depends on the severity. These problems are normal and they usually heal up in a few days. Simply resting, taking medicine, and using cold packs should do the trick, though, if both problems are severe, then surgery might be the best way to treat the patient.