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

ICD-10 Coding for Chronic Lower Back Pain

M54.50
M54.51

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

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

Essential facts and insights about ICD-10 Coding for Chronic Lower 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

  • • Documented chronic low back pain without specific etiology

Applicable To

  • • Chronic low back pain

Important Notes

  • • Ensure chronicity is clearly documented in the medical record.

Vertebrogenic low back pain

Billable Code
M54.51
Billable

Diagnostic Criteria

  • • MRI showing Modic changes
  • • Documentation of vertebrogenic origin

Applicable To

  • • Chronic vertebrogenic low back pain

Important Notes

  • • Ensure imaging findings are documented to support vertebrogenic diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use for chronic pain management visits where pain is the primary focus.

Frequently Asked Questions

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

The ICD-10 code for chronic lower back pain is M54.50, used when the pain is unspecified. For vertebrogenic pain, use M54.51.

How do you code chronic lower back pain?

Code chronic lower back pain with M54.50 for unspecified causes. Use G89.29 for chronic pain management visits.

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