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Home/Diagnosis/ICD-10 Coding for Acute Back Pain

ICD-10 Coding for Acute Back Pain

M54.50
S39.012A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute back pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Acute Low Back Pain
Acute Lumbago
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Key Information: ICD-10 Coding for Acute Back Pain

Essential facts and insights about ICD-10 Coding for Acute Back Pain

Use ICD-10 code M54.50 for low back pain, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Low back pain, unspecified

Billable Code
M54.50
Billable

Diagnostic Criteria

clinical:
  • • Pain is acute and non-specific
documentation:
  • • No evidence of strain or specific injury

Applicable To

  • • Acute low back pain

Important Notes

  • • Ensure documentation specifies acute nature and lack of specific etiology.

Strain of muscle, fascia and tendon of lower back, initial encounter

Billable Code
S39.012A
Billable

Diagnostic Criteria

clinical:
  • • Provider documentation of strain mechanism
  • • Description of activity leading to strain

Applicable To

  • • Acute strain of lower back

Important Notes

  • • Ensure clear documentation of strain and activity.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.11

Acute pain due to trauma

Use when acute back pain is due to trauma without specific injury code.

Frequently Asked Questions

What is the ICD-10 code for acute back pain?

The ICD-10 code for acute back pain is M54.50, used when the pain is unspecified and without a specific cause.

How do you code acute back pain with a strain?

For acute back pain with a documented strain, use ICD-10 code S39.012A, which specifies a strain of the lower back.

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