M54.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of low back pain. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions.
Pain management cpt codes 62310, 62319, 64415 - 64449
Code G89.3 [Neoplasm related pain (acute) (chronic)] is listed as a secondary diagnosis. Central Pain Syndrome and Chronic Pain Syndrome. Category G89 contains two codes for pain syndromes. Radiology coders will seldom use these codes, but it is important to understand the difference between them:
ICD-10 code M54. 5, low back pain, effective October 1, 2021. That means providers cannot use M54.
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.
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.
338.4 Chronic pain syndrome - ICD-9-CM Vol. 1 Diagnostic Codes.
Lower back pain, sometimes called lumbago, is not a specific disease diagnosis. It's a symptom of several different types of medical problems. It usually results from a problem with one or more parts of the lower back, such as: ligaments and muscles.
9: Fever, unspecified.
9: Dorsalgia, unspecified.
17: Radiculopathy Lumbosacral region.
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.
The current code, M54. 5 (Low back pain), will be expanded into three more specific codes: M54. 50 (Low back pain, unspecified)
ICD-9 Code Transition: 723.1 Code M54. 2 is the diagnosis code used for Cervicalgia (Neck Pain).
Narrowing of the spinal canal. Your spine, or backbone, protects your spinal cord and allows you to stand and bend. Spinal stenosis causes narrowing in your spine. The narrowing can occur at the center of your spine, in the canals branching off your spine and/or between the vertebrae, the bones of the spine. The narrowing puts pressure on your ...
Diseases such as arthritis and scoliosis can cause spinal stenosis, too. Symptoms might appear gradually or not at all. They include pain in your neck or back, numbness, weakness or pain in your arms or legs, and foot problems.
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.
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).
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.
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..