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.
a: Assign code 724.2, Lumbago, for the lower back pain as the principal diagnosis. Assign codes 729.5, Pain in limb, for the pain in both lower extremities, 338.4, Chronic pain syndrome, and 338.19, Other acute pain, for the acute exacerbation as additional diagnoses.
a great tool for coding is flashcode.com. it is very helpful. I came up with 661.40. Check it out in the back of the ICD-9 book. Cervical spasm is listed there. I believe Melinda is speaking of the back (cervical region) due to her selection of ICD-9 codes.
ICD-9 Code Transition: 724.2 Code M54. 5 is the diagnosis code used for Low Back Pain (LBP). This is sometimes referred to as lumbago.
ICD-10 code M54. 5, low back pain, effective October 1, 2021. That means providers cannot use M54.
The 2022 ICD10 code for low back pain M54. 5 has been deleted with the addition of 3 codes to replace it. Today we will focus on the new low back pain ICD10 code, M54. 59 Other low back pain.
ICD-9 CodeDescription847*Sprains/strain oth/unspc parts back847.2*Sprain/strain, lumbar region847.3*Sprain/strain, sacrum847.4*Sprain/strain, coccyx97 more rows
Other intervertebral disc disorders, lumbar region The 2022 edition of ICD-10-CM M51. 86 became effective on October 1, 2021.
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.
9: Fever, unspecified.
CMS will continue to maintain the ICD-9 code website with the posted files. These are the codes providers (physicians, hospitals, etc.) and suppliers must use when submitting claims to Medicare for payment.
M54. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
338.4 Chronic pain syndrome - ICD-9-CM Vol. 1 Diagnostic Codes.
ICD-9-CM 719.45 converts approximately to: 2022 ICD-10-CM M25. 559 Pain in unspecified hip.
17: Radiculopathy Lumbosacral region.