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

ICD-10 Coding for Acute Low Back Pain

M54.50
M54.51
M54.59

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

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

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

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

Primary ICD-10-CM Codes

Acute low back pain, unspecified

Billable Code
M54.50
Billable

Diagnostic Criteria

clinical:
  • • Acute onset of symptoms less than 3 months

Applicable To

  • • Acute non-specific low back pain

Important Notes

  • • Ensure documentation specifies acute nature and absence of chronic conditions.

Vertebrogenic low back pain

Billable Code
M54.51
Billable

Applicable To

  • • Low back pain with vertebral endplate changes

Important Notes

  • • Requires imaging documentation for validation.

Other specified low back pain

Billable Code
M54.59
Billable

Applicable To

  • • Facet-mediated pain
  • • Muscular strain

Important Notes

  • • Ensure specific cause is documented in the medical record.
Ancillary Codes

Additional codes that may be used with this diagnosis

S39.012S

Strain of muscle and tendon of lower back

Use when acute low back pain is due to a strain.

Frequently Asked Questions

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

The ICD-10 code for acute low back pain is M54.50 for unspecified cases, with more specific codes like M54.51 for vertebrogenic pain.

How do you document acute low back pain?

Document acute low back pain by specifying the onset, duration, and absence of red flags, ensuring detailed history and physical exam findings.

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