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Let Your Fingers do the Walking. You find M54 in the Tabular List in ICD-10-CM and find M54.5 Low back pain. However, this code requires a fifth character. Your choices are as follows: M54.50 Low back pain, unspecified. This diagnosis code includes loin pain and lumbago not otherwise specified (NOS).
M54.50. Low back pain, unspecified. M54.51. Vertebrogenic low back pain. M54.59. Other low back pain. Get crucial instructions for accurate ICD-10-CM M54.5 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
Coding alert 1: “From an ICD-10-CM perspective, lower back pain and strain are mutually exclusive diagnoses, as there is an Excludes1 note under M54.5 directing coders to S39.012- for low back strain,” cautions Moore. Scenario 3: Your provider documents that a patient has chronic lower back pain due to surgery or trauma.
low back strain (S39.012) lumbago due to intervertebral disc displacement (M51.2 -) lumbago with sciatica (M54.4 -) M54. Excludes1: psychogenic dorsalgia (F45.41) Get crucial instructions for accurate ICD-10-CM M54.50 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
Coding low back pain can be a challenge because you need a lot of information to select the most appropriate diagnosis code. On top of that, there are three new codes from the M54.5- (Low back pain) family in ICD-10 2022. Consider this guidance and boost your coding specificity. Distinguish Pain As Vertebrogenic or Discogenic
ICD-10. ICD-10-CM Codes. Diseases of the musculoskeletal system and connective tissue. Dorsopathies. Other dorsopathies. Dorsalgia (M54) Other low back pain (M54.59) M54.51. M54.59.
Low back vertebral endplate pain. M54.5. Excludes1: intervertebral disc degeneration, lumbar region with discogenic back pain only (M51.360) intervertebral disc degeneration, lumbosacral region with discogenic back pain only (M51.370) low back strain (S39.012) lumbago due to intervertebral disc displacement (M51.2 -)
ICD-10-CM Codes. Diseases of the nervous system. Other disorders of the nervous system. Pain, not elsewhere classified (G89) Chronic pain syndrome (G89.4) G89.3. G89.4.
Finally, ICD-10 also converted M51.37 (Other intervertebral disc degeneration, lumbosacral region) to parent for 2025. When this code starts requiring a 6th character, these will be your options: M51.370 (Other intervertebral disc degeneration, lumbosacral region with discogenic back pain only) M51.371 (Other intervertebral disc degeneration ...
To help coders report patient care to the highest specificity, ICD-10 2022 divided M54.5 (Low back pain) into three new codes that take this definition into account: M54.50 (Low back pain, unspecified) M54.51 (Vertebrogenic low back pain) M54.59 (Other low back pain) Code M54.50 includes loin pain and low back pain (lumbago) not otherwise ...