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

ICD-10 Coding for Unspecified Back Pain

M54.50
M54.9

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

Also Known as:
Back pain unspecified
Dorsalgia unspecified
back pain nos
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Key Information: ICD-10 Coding for Unspecified Back Pain

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

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

Primary ICD-10-CM Codes

Unspecified low back pain

Billable Code
M54.50
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to lumbar region without radiation
coding:
  • • No specific cause identified for low back pain

Applicable To

  • • Low back pain without radiation
  • • Lumbar pain without specific cause

Important Notes

  • • Ensure documentation specifies 'low back' and absence of radiation.

Dorsalgia, unspecified

Billable Code
M54.9
Billable

Applicable To

  • • Generalized back pain
  • • Mid-back ache

Important Notes

  • • Ensure documentation does not specify a particular spinal region.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Chronic pain, not elsewhere classified

Use when the provider documents 'chronic' low back pain.

Frequently Asked Questions

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

The ICD-10 code for unspecified low back pain is M54.50, while M54.9 is used for dorsalgia unspecified.

When should M54.50 be used?

Use M54.50 for low back pain without specific cause or radiation, ensuring documentation specifies 'low back' and absence of radiation.

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