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

ICD-10 Coding for Arthritis Back Pain

M54.5
M47.816

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

Also Known as:
Back Arthritis
Spinal Arthritis
Degenerative Back Disease
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Key Information: ICD-10 Coding for Arthritis Back Pain

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

Use ICD-10 code M54.5 for low back pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Low back pain

Non-Billable
M54.5
Non-Billable

Diagnostic Criteria

clinical:
  • • Absence of neurological symptoms

Applicable To

  • • Lumbago

Important Notes

  • • Ensure documentation specifies absence of neurological symptoms.

Spondylosis with myelopathy, lumbar region

Billable Code
M47.816
Billable

Diagnostic Criteria

clinical:
  • • Imaging showing myelopathy
  • • Neurological examination confirming myelopathy

Applicable To

  • • Lumbar spondylosis with myelopathy

Important Notes

  • • Document neurological findings and imaging results.
Ancillary Codes

Additional codes that may be used with this diagnosis

M80.0

Osteoporosis with pathological fracture

Use when osteoporosis is present with a fracture due to minimal trauma.

Frequently Asked Questions

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

The ICD-10 code for arthritis back pain can vary, but common codes include M54.5 for low back pain and M47.816 for spondylosis with myelopathy.

How do you code spondylosis with myelopathy?

Spondylosis with myelopathy is coded as M47.816, which requires documentation of neurological symptoms and imaging findings.

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