Degenerative Disc Disease ICD-10 Coding Guide

Also known as

  • Lumbar degenerative disc disease
  • Intervertebral disc degeneration
  • Disc degeneration

Abbreviations

  • DDD

Degenerative disc disease of the lumbar region is classified under ICD-10-CM code M51.36, which requires specifying associated symptoms. Common billable codes include M51.360 (with discogenic back pain only), M51.361 (with lower extremity pain only), and M51.36 (unspecified).

Primary codes

Billable

Billable

Extension

7th character

POA exempt

No

Coding risks

  • Missing a required companion or status code

Code comparison

Compare key differences between related codes to select the most specific option.

CodeDescriptionScenario
M51.35Other intervertebral disc degeneration, thoracolumbar regionDisc degeneration documented at the thoracolumbar junction, not isolated to lumbar or lumbosacral levels.
M51.26Other intervertebral disc displacement, lumbar regionLumbar disc displacement documented, such as herniation or protrusion, rather than degenerative disc changes.
M51.360Other intervertebral disc degeneration, lumbar region with discogenic back pain onlyLumbar disc degeneration with discogenic back pain only, no lower extremity symptoms documented.
M51.361Other intervertebral disc degeneration, lumbar region with lower extremity pain onlyLumbar disc degeneration with lower extremity pain documented, without discogenic back pain.
M51.362Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity painLumbar disc degeneration documented with both discogenic back pain and radiating lower extremity pain.
M51.369Other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity painLumbar disc degeneration on imaging with no back or lower extremity pain documented.
M51.370Other intervertebral disc degeneration, lumbosacral region with discogenic back pain onlyLumbosacral disc degeneration with discogenic back pain only, no lower extremity pain documented.
M51.371Other intervertebral disc degeneration, lumbosacral region with lower extremity pain onlyLumbosacral disc degeneration with lower extremity pain documented, no discogenic back pain noted.

Select the most specific code supported by the encounter documentation. More specific codes improve reimbursement accuracy and reduce audit risk.

Code ranges

Coding risks

Avoid these common coding issues when reporting Degenerative Disc Disease.

Impact

Assigning M51.36 without explicit region may miscode as thoracolumbar degeneration (M51.35) or lumbosacral (M51.37-).

Mitigation

Consider querying the provider when the region is absent rather than inferring from imaging report headers alone.

Ancillary and co-coding

Codes commonly reported with the primary diagnosis on the same claim.

Z-code variants

Family history, personal history, or screening encounter codes related to this condition.

Differential codes

Alternative or commonly confused codes to consider when documentation suggests a different condition than the primary diagnosis.

Frequently asked questions

Use M51.369 only when documentation confirms lumbar disc degeneration without any mention of back pain or lower extremity pain.

References

Compiled from the following authoritative coding references. Last updated 2026-08-04.

Disclaimer

This page is compiled from authoritative coding references for educational and reference purposes only. It is not medical advice, billing authority, or an official source of ICD-10-CM guidelines. Always verify codes against the current CMS ICD-10-CM Official Guidelines, AHIMA guidance, and your organization’s coding policies. ICD-10-CM is updated annually on October 1.