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Home/Diagnosis/ICD-10 Coding for Back Pain in Pregnancy

ICD-10 Coding for Back Pain in Pregnancy

O26.89
M54.5

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

Also Known as:
Pregnancy-related back pain
Obstetric back pain
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Key Information: ICD-10 Coding for Back Pain in Pregnancy

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

Use ICD-10 code O26.89 for other specified pregnancy-related conditions, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other specified pregnancy-related conditions

Non-Billable
O26.89
Non-Billable

Diagnostic Criteria

  • • Pain onset during pregnancy without prior history

Applicable To

  • • Pregnancy-related back pain

Important Notes

  • • Ensure documentation clearly links back pain to pregnancy.

Low back pain

Non-Billable
M54.5
Non-Billable

Applicable To

  • • Localized lumbar pain

Important Notes

  • • Ensure back pain is not primarily due to pregnancy.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use as a secondary code to specify the type of back pain.

Frequently Asked Questions

What is the ICD-10 code for back pain in pregnancy?

The ICD-10 code for pregnancy-related back pain is O26.89, used when the pain is directly linked to pregnancy.

How do you code low back pain in pregnancy?

Use O26.89 for pregnancy-related back pain and M54.5 as a secondary code to specify low back pain.

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