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

ICD-10 Coding for Chronic Low Back Pain

M54.50
M54.51
G89.29

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

Also Known as:
Chronic LBP
Persistent Low Back Pain
chronic lumbago
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Key Information: ICD-10 Coding for Chronic Low Back Pain

Essential facts and insights about ICD-10 Coding for Chronic Low 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 duration over 12 weeks with no specific underlying cause.

Applicable To

  • • Chronic low back pain without specified cause

Important Notes

  • • Ensure chronicity is documented by the provider.

Vertebrogenic low back pain

Billable Code
M54.51
Billable

Applicable To

  • • Low back pain due to vertebral endplate changes

Important Notes

  • • Ensure MRI findings are documented.

Other chronic pain

Billable Code
G89.29
Billable

Applicable To

  • • Chronic pain not elsewhere classified

Important Notes

  • • Ensure documentation supports chronic pain management.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use alongside M54.50 when the encounter focuses on pain management.

Frequently Asked Questions

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

The ICD-10 code for chronic low back pain is M54.50 for unspecified causes and M54.51 for vertebrogenic causes confirmed by MRI.

When should G89.29 be used with M54.50?

Use G89.29 with M54.50 when the encounter focuses on chronic pain management, such as opioid management or neuromodulation.

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