Possible Causes and Treatment Options
M54.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M54.5 became effective on October 1, 2020. This is the American ICD-10-CM version of M54.5 - other international versions of ICD-10 M54.5 may differ.
You should not feel lumbar puncture pain during the actual procedure. Minor discomfort is normal, but the doctor numbs the area to be worked on before inserting the collection needle. The anesthetic is also inserted by a needle, however, and you might feel a strong pinching feeling, discomfort, and pain.
Spinal cord compression can occur anywhere from your neck (cervical spine) down to your lower back (lumbar spine). Symptoms include numbness, pain, and weakness. Depending on the cause of the compression, symptoms may develop suddenly or gradually, and they may require anything from supportive care to emergency surgery.
M54. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M54.
M54. 50 (Low back pain, unspecified)
Lumbago with sciatica, right side 41 became effective on October 1, 2021. This is the American ICD-10-CM version of M54.
M54. 50 - Low back pain, unspecified.
ICD-10-CM Code for Spondylosis without myelopathy or radiculopathy, lumbar region M47. 816.
Lumbar radiculopathy is an inflammation of a nerve root in the lower back, which causes symptoms of pain or irritation in the back and down the legs. This condition usually involves the sciatic nerve and therefore is also called sciatica.
4: Lumbago with sciatica.
ICD-10 Code for Pain in thoracic spine- M54. 6- Codify by AAPC.
Dorsalgia means back or spine pain, including low back, mid back, and sciatic pain. It does not include pain related to scoliosis, lordosis, or other specifically classified conditions.
17: Radiculopathy Lumbosacral region.
Low back pain. Acute low back pain; Acute low back pain for less than 3 months; Acute low back pain less than 3 months; Chronic low back pain; Chronic low back pain for greater than 3 months; Chronic low back pain greater than 3 months; Chronic low back pain greater than 3 months duration; Low back pain for less than 3 months;
Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region. Panniculitis aff regions of neck/bk, sacr/sacrocygl region; Lumbar facet joint pain; Lumbar facet syndrome; Muscle spasm of thoracic area of back; Muscle spasm of thoracic back; Panniculitis of sacrococcygeal; Panniculitis of sacrococcygeal area.
Sciatica – Pain which radiates down to one or both the legs from the lower back caused due to compression of the sciatic nerve by a herniated disk or a bone spur. Lumbago- The medical term for low back pain.
Lumbar region – The lower back region of the spine which is curved slightly inwards and made of 5 vertebrae (L1-L5). Lumbosacral region – The region connecting the last lumbar vertebrae to the sacrum which is made of 5 bones fused together.
Cervicothoracic region – The region connecting the cervical and thoracic regions of the spine (C7-T1). Thoracic region – The longest region of the spine which extends from the base of the neck to the abdomen. It comprises of 12 vertebrae (T1 to T12).
Chronic back pain – Back pain is said to be chronic if it is a constant nagging pain usually lasting for more than 3-6 months duration, which begins to affect the daily routine of the person.
Radiculopathy- Pain, weakness, numbness and tingling caused due to compressed or pinched nerve along different areas of the spine. Nerve compression can occur due to a ruptured or herniated disk or due to other pathological conditions like tumors or abscess.
Back pain being a symptom of an underlying disease in most cases is coded only in the absence of a confirmed diagnosis of an underlying condition like intervertebral disc disorders, traumatic disc fracture, muscle strain etc..
Though it is not specifically mentioned, “thoracolumbar” likely only includes T12-L1, and “lumbosacral” probably only refers to the L5-S1 interspace. There is a strange rule for cervical disc disorders indicating that you should code to the most superior level of the disorder.
Myelopathy means that there is some sort of neurologic deficit to the spinal cord, whereas radiculopathy means that there is a deficit to nerve roots. Don’t code radiculitis (M54.1-) separately if you use thefourth character of “1” with radiculopathy for the disc disorders (M50.1- or M51.1-). It is already included in the code.
It is already included in the code. Likewise, don’t code sciatica (M54.3-) if you code for lumbar disc with radiculopathy. It would be redundant. On a side note, lumbar radiculopathy (M54.16) might be used if pain is not yet known to be due a disc, but it radiates from the lumbar spine.