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Home/Diagnosis/ICD-10 Coding for Chronic Lumbar Pain

ICD-10 Coding for Chronic Lumbar Pain

M54.50
M54.51
G89.29

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

Also Known as:
Chronic Low Back Pain
Chronic Lumbago
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Key Information: ICD-10 Coding for Chronic Lumbar Pain

Essential facts and insights about ICD-10 Coding for Chronic Lumbar Pain

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

Primary ICD-10-CM Codes

Chronic low back pain, unspecified

Billable Code
M54.50
Billable

Diagnostic Criteria

documentation:
  • Explicit mention of 'chronic' in the medical record

Applicable To

  • • Chronic low back pain without specific etiology

Important Notes

  • • Ensure documentation specifies 'chronic' to avoid misclassification.

Vertebrogenic low back pain

Billable Code
M54.51
Billable

Applicable To

  • • Pain due to vertebral endplate changes

Important Notes

  • • Ensure imaging findings are documented to support this code.

Other chronic pain

Billable Code
G89.29
Billable

Applicable To

  • • Chronic pain management encounters

Important Notes

  • • Ensure the encounter note specifies pain management as the primary focus.
Frequently Asked Questions

What is the ICD-10 code for chronic lumbar pain?

The ICD-10 code for unspecified chronic lumbar pain is M54.50. For vertebrogenic pain, use M54.51. Use G89.29 for encounters focused on pain management.

When should G89.29 be used for chronic lumbar pain?

Use G89.29 when the encounter is primarily for managing chronic pain, such as in a pain management clinic.

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