icd 10 dx code for low back pain

by Kendra Hodkiewicz DVM 4 min read

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.

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Full Answer

What is the diagnosis code for low back pain?

Oct 01, 2021 · Low back pain, unspecified M00-M99 2022 ICD-10-CM Range M00-M99 Diseases of the musculoskeletal system and connective tissue Note Use an external... M50-M54 2022 ICD-10-CM Range M50-M54 Other dorsopathies Type 1 Excludes current injury - see injury of spine by body... M54 ICD-10-CM Diagnosis Code ...

What is the ICD 10 code for chronic back pain?

Oct 01, 2021 · M54.50. M54.50 is a valid billable ICD-10 diagnosis code for Low back pain, unspecified . It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 .

What is Procedure Code 10e0xzz?

low back strain ( S39.012) lumbago due to intervertebral disc displacement ( M51.2-) lumbago with sciatica ( M54.4-) ICD-10-CM Diagnosis Code G89.11 [convert to ICD-9-CM] Acute pain due to trauma. Acute pain due to injury. ICD-10-CM Diagnosis Code G89.11. Acute pain due to trauma.

Do you have chronic low back pain?

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.

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What is the ICD 10 code for left sided back pain?

2022 ICD-10-CM Diagnosis Code M54. 42: Lumbago with sciatica, left side.

What is the ICD 10 code for right sided back pain?

M54.412022 ICD-10-CM Diagnosis Code M54. 41: Lumbago with sciatica, right side.

What is the ICD 10 code for intractable low back pain?

G89.29The chronic intractable low back pain ICD 10 code is G89. 29, M54. 59. If a condition is assessed as chronic intractable low back pain, a code from the category of chronic pain, G89.

What is the ICD 10 code for bilateral low back pain with sciatica?

2022 ICD-10-CM Diagnosis Code M54. 4: Lumbago with sciatica.

What does Vertebrogenic low back pain mean?

Rather than stemming from the disc, chronic low back pain frequently stems from the vertebrae itself. Pain that originates at the disc is called discogenic, whereas pain coming from the bone is referred to as vertebrogenic back pain.Jun 25, 2021

What is the ICD 10 code for mid back pain?

ICD-10-CM Code for Pain in thoracic spine M54. 6.

What is mechanical low back pain?

Mechanical low back pain refers to back pain that arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues.Oct 1, 2018

What is diagnosis code M54 6?

6: Pain in thoracic spine.

What is the ICD-10 code for sciatica pain?

M54.30M54. 30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

ICD-10 code M54.5 is soon to be a relic of the past

Last year was a wake up call—in more ways than one. The pandemic forced us to reckon...

ICD-10 code M54.5 is getting the kibosh

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.

Providers will need to get specific, using more detailed (and sometimes new) ICD-10 codes to describe low back pain

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).

Prepare for payer pushback

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.

What is the longest region of the spine?

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).

Which region of the spine is curved slightly inwards and made of 5 vertebrae?

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.

How long does back pain last?

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.

What is the term for pain in the lower back?

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.

Why does my spine feel numb?

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.

Is back pain a symptom of a disease?

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..

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