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See Category: Diseases of the musculoskeletal system and connective tissue
See Header: Lumbago with sciatica
ICD-10 (CM) Code and Descriptor
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M54.42 |
Lumbago with sciatica, left side
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M5442 utilizaton on OPPS claims.*
Primary
ICD10 Code |
ICD10
Position 2 |
ICD10
Position 3 |
ICD10
Position 4 |
ICD10
Position 5 |
ICD10
Position 6 |
ICD10
Position 7 |
ICD10
Position 8 |
ICD10
Position 9 |
ICD10
Position 10 |
| 42.56%
|
20.06%
|
11.63%
|
7.66%
|
5.10%
|
3.62%
|
2.50%
|
1.82%
|
1.34%
|
1.02%
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* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.
Commonly Associated Procedure Codes for M54.42*:
| CPT |
Description |
Number of Claims |
Sum Performed |
|
97110
|
THERAPEUTIC EXERCISES |
101,825
|
191,788
|
|
97140
|
MANUAL THERAPY 1/> REGIONS |
47,285
|
58,484
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
21,695
|
21,719
|
|
97112
|
NEUROMUSCULAR REEDUCATION |
21,240
|
27,028
|
|
97530
|
THERAPEUTIC ACTIVITIES |
18,926
|
26,506
|
|
G0283
|
ELEC STIM OTHER THAN WOUND |
12,515
|
12,515
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
11,038
|
11,038
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
10,957
|
14,756
|
|
72148
|
MRI LUMBAR SPINE W/O DYE |
10,917
|
10,917
|
|
72100
|
X-RAY EXAM L-S SPINE 2/3 VWS |
10,436
|
10,442
|
|
J1885
|
KETOROLAC TROMETHAMINE INJ |
9,173
|
19,283
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
8,968
|
8,970
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
8,572
|
8,572
|
|
G0467
|
FQHC VISIT, ESTAB PT |
8,243
|
8,243
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
7,537
|
20,892
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
7,496
|
7,503
|
|
97161
|
PT EVAL LOW COMPLEX 20 MIN |
6,972
|
6,972
|
|
97162
|
PT EVAL MOD COMPLEX 30 MIN |
6,629
|
6,629
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
6,097
|
6,098
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
5,984
|
6,029
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* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
M54.42 related to the following DRG Codes:
551-552
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