Complete ICD-10-CM coding and documentation guide for icd-10 coding for lumbar back pain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Lumbar Back Pain
Use ICD-10 code M54.50 for low back pain, unspecified, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Other chronic pain
Use to indicate chronicity if pain persists beyond three months.
The ICD-10 code for unspecified lumbar back pain is M54.50. For vertebrogenic pain, use M54.51, which requires MRI confirmation of vertebral endplate changes.
Document vertebrogenic low back pain by including MRI findings that show Modic changes at specific vertebral levels, ensuring accurate coding with M54.51.