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

ICD-10 Coding for Lower Back Pain

M54.50
M54.51
M54.59

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

Also Known as:
Lumbago
Lumbar Pain
Backache
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Key Information: ICD-10 Coding for Lower Back Pain

Essential facts and insights about ICD-10 Coding for 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

clinical:
  • Pain is present without specific cause or additional symptoms.

Applicable To

  • • General lower back pain without specific cause

Important Notes

  • • Ensure documentation specifies the nature of the pain if possible.

Vertebrogenic low back pain

Billable Code
M54.51
Billable

Applicable To

  • • Pain associated with vertebral issues

Important Notes

  • • Ensure imaging findings are documented.

Other low back pain

Billable Code
M54.59
Billable

Applicable To

  • • Specific types of low back pain not classified elsewhere

Important Notes

  • • Ensure specific type of pain is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use when chronic pain is due to a traumatic event.

Frequently Asked Questions

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

The ICD-10 code for unspecified lower back pain is M54.50. It is used when the cause of the pain is not specified.

How do you code vertebrogenic low back pain?

Vertebrogenic low back pain is coded as M54.51, requiring documentation of vertebral changes on imaging.

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