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-CM Diagnosis Code 724.5 : Backache, unspecified.
ICD-10 code M54. 5, low back pain, effective October 1, 2021.
2022 ICD-10-CM Diagnosis Code M54. 5: Low back pain.
Lumbago with sciatica, unspecified side M54. 40 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. 40 became effective on October 1, 2021.
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.
G89. 29 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 G89. 29 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.
4: Lumbago with sciatica.
M54. 50 - Low back pain, unspecified.
Lumbago with sciatica, right side 41 became effective on October 1, 2021. This is the American ICD-10-CM version of M54.
For starters, dorsalgia is severe back pain, which could be coming from different parts of the spine. Depending on the specific section of the spine where the pain is coming from, there are six types of dorsalgia.
ICD-10-CM Code for Spondylosis without myelopathy or radiculopathy, lumbar region M47. 816.
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.