Low back pain. M54.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM M54.5 became effective on October 1, 2018.
Showing 1-25: ICD-10-CM Diagnosis Code M54.5. 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; …
ICD-10-CM Diagnosis Code M54.41 [convert to ICD-9-CM] Lumbago with sciatica, right side. Low back pain co-occurrent and due to bilateral sciatica; Low back pain with bilateral sciatica; Low back pain with right sciatica; Lumbago with right sided sciatica; Right lumbago w sciatica. ICD-10-CM Diagnosis Code M54.41.
2022 ICD-10-CM Diagnosis Code M54.5 Low back pain 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code M54.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM M54.5 became effective on October 1, 2021.
ICD-10-CM Diagnosis Code S20.223A. Contusion of bilateral back wall of thorax, initial encounter. 2021 - New Code 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code S20.223D [convert to ICD-9-CM] Contusion of bilateral back wall of thorax, subsequent encounter. Contusion of bilateral back wall of thorax, subs.
4: Lumbago with sciatica.
Every October 1st brings additions and deletions to the ICD10 codes and although these are 2022 codes the effective date is October 1, 2021. The code for low back pain M54. 5 has been deleted with the addition of 3 codes to replace it.
1, the International Classification of Diseases code for low back pain — M54. 5 — will no longer exist in the ICD-10 listings. The more general code is being replaced by a series of codes related to LBP aimed at providing greater specificity around diagnosis.
The current code, M54. 5 (Low back pain), will be expanded into three more specific codes: M54. 50 (Low back pain, unspecified)
ICD-10 Code M54. 5 for Chronic Low Back Pain | CareCloud.
5: Low back pain.
M54. 50 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
6: Pain in thoracic spine.
9: Dorsalgia, unspecified.
ICD-10 | Cervicalgia (M54. 2)
Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous sprains and strains; intervertebral disk displacement; and other conditions.
M54.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
Lumbago- The medical term for low back pain.
Back pain, medically called Dorsalgia is a very common physical discomfort affecting 8 out of 10 people both young and the old. The pain can be in the cervical, cervicothoracic, thoracic, thoracolumbar, Lumbar or lumbosacral regions. It can be felt as a dull, persistent ache or a sudden sharp pain.
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.
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.
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.
There are no specific ICD-10 code for “chronic low back pain” or for “endometriosis with pain” despite these being recognized as COPCs. For these two COPCs, cLBP and painful ENDO, we used “fuzzy searches,” which allowed for combinations of words that occur within a predefined word distant from one another (indicated by a “~” in combination with an integer). This allowed us to capture the relevant information even when the words did not occur in a precise order. As an example, “chronic low back pain”~6 would capture the phrase “chronic bilateral low back pain” where the precise phrase “chronic low back pain” would not. All search terms are shown in Table 1. For purposes of identifying a validated short list of ICD-10 codes for COPCs, codes were retained for further validation if 75% or more of the patients with the relevant code also had one or more relevant search terms in the same medical record.
Experts were selected based on a combination of criteria including publications on the relevant COPC, history of extramural funding for the COPC, and previous contributions made to the diagnostic criteria for the COPC. Table 1displays the composition of the expert panel. Experts were initially contacted by email indicating the purpose of the project, estimated time commitment, and the proposed composition of the three-person panel. Once the panel was formed, conference calls were convened for the purpose of discussing the diagnostic criteria for the identified conditions and establishing a recommended set of ICD-10 codes that could be used to identify each of the 10 COPCs. The task was described simply as “to compile a list of ICD codes used to designate” the relevant COPC. No codes were proposed by the task force prior to or during the call, enabling each member of the expert panel to make unbiased recommendations. No upper limit was placed on the number of proposed codes. Each proposed code was recorded and all experts were offered the opportunity to dispute or amend the list. In practice, there was little to no disagreement between the experts. Following each call, a summary list of codes was provided to all participants.
This suggests that some codes can be used as reasonable proxies for COPCs, but with several notable limitations discussed in detail in the overall Discussionsection.