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Painful sensation in the back region. Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the back. ICD-10-CM M54.9 is grouped within Diagnostic Related Group (s) (MS-DRG v42.0): 551 Medical back problems with mcc. 552 Medical back problems without mcc.
M54.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM M54.6 became effective on October 1, 2024. This is the American ICD-10-CM version of M54.6 - other international versions of ICD-10 M54.6 may differ.
M54.6 is a billable diagnosis code used to specify pain in thoracic spine. Synonyms: acute thoracic back pain, chronic chest pain, chronic thoracic back pain, facet.
This article includes all the medical codes you will need to report Back Pain, as well as other related specific ICD 10 codes such as Bilateral Chronic Back Pain and Back Pain with Sciatica. Read on for a summary of the necessary ICD 10 & 11 codes followed by a further description. What Is Back Pain?
Healing pressure ulcer of left upper back, stage 1; Pressure pre-ulcer skin changes limited to persistent focal edema, left upper back
The ICD-10 system does not have codes defining mild, moderate or severe upper back pain. The closest option is to report uncomplicated, general upper back pain using code M54.9. Severity is indicated through additional diagnosis codes or described in clinical notes.
Get crucial instructions for accurate ICD-10-CM M54.6 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
Solution: “Dorsalgia is upper back pain, so M54.9 should not be selected,” cautions Johnson. Additionally, “M54.9 is an ‘unspecified’ code, which would not be appropriate in this situation, because the diagnosis is specific to lower back pain, for which a specific ICD-10-CM exists,” notes Moore.
Dorsalgia refers to those conditions causing back pain. An example is scoliosis. Source: Wikipedia. Coding Notes for M54.6 Info for medical coders on how to properly use this ICD-10 code. Code Type-1 Excludes: Pain in thoracic spine due to intervertebral disc disorder - instead, use code M51.- MS-DRG Mapping.
Common Causes of Upper Back Pain in ICD-10 Coding. Stiffness, Muscle ligament strain. Poor posture. Herniated disc. Osteoarthritis. Trauma or injury. Overuse or repetitive motion. Conditions Diagnosed with ICD-10 Code M54.6. Muscle Tension: