Low back pain 1 M54.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM M54.5 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of M54.5 - other international versions of ICD-10 M54.5 may differ.
abdomen pain ( R10.-) spine pain ( M54.-) migraines ( G43.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
ICD-10-CM Diagnosis Code M54.8 Diagnosis Index entries containing back-references to M54.5: Lumbago, lumbalgia M54.5 ICD-10-CM Diagnosis Code M54.9 ICD-10-CM Codes Adjacent To M54.5 Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
2016 2017 2018 2019 Billable/Specific Code M54.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M54.5 became effective on October 1, 2018. This is the American ICD-10-CM version of M54.5 - other international versions of ICD-10 M54.5 may differ.
ICD-10 code M54. 5, low back pain, effective October 1, 2021. That means providers cannot use M54.
5: Low back pain.
ICD-Code M54. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of chronic low back pain. Its corresponding ICD-9 code is 724.2.
M54. 50 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.
Last year was a wake up call—in more ways than one. The pandemic forced us to reckon...
Every year, CMS publishes updates to the ICD-10 manual, deleting unnecessary codes, adding new ones, and revising language as-needed. This August, CMS published its latest round of ICD-10 changes—including the deletion of ICD-10 code M54.5, low back pain, effective October 1, 2021.
So, here’s the real question: How the heck can CMS justify deleting such a commonly used code? Well, CMS has explained that it’s deleting M54.5 because it lacks specificity (and we all know how important coding specificity is to ICD-10).
When CMS edits the ICD-10 manual, those changes apply to all payers—Medicare, state, and commercial alike. That said, some commercial payers don’t have the best track record when it comes to applying these changes in a timely manner.