Spinal stenosis, lumbar region with neurogenic claudication

This code signifies a narrowing of the spinal canal in the lower back (lumbar region) that compresses the nerves, leading to symptoms of neurogenic claudication. Neurogenic claudication is characterized by leg pain, numbness, or weakness that worsens with standing or walking and improves with sitting or leaning forward.

Apply this code when documentation clearly indicates lumbar spinal stenosis with associated neurogenic claudication. This diagnosis is typically supported by patient history, physical examination findings (e.g., positive shopping cart sign), and imaging studies like MRI showing canal narrowing.

• Ensure documentation explicitly states "neurogenic claudication" to differentiate from vascular claudication.
• Do not use this code if the claudication is solely vascular in nature; a separate code for vascular claudication would be appropriate.
• Consider sequencing this code as a primary diagnosis if it is the main reason for the encounter, or as a secondary diagnosis if it is a comorbidity impacting treatment.