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

ICD-10 Coding for Mid Back Pain

M54.6
G89.21
G89.28

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

Also Known as:
Thoracic Back Pain
Middle Back Pain
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Key Information: ICD-10 Coding for Mid Back Pain

Essential facts and insights about ICD-10 Coding for Mid Back Pain

Use ICD-10 code M54.6 for pain in thoracic spine, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in thoracic spine

Billable Code
M54.6
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to thoracic region without specific cause.
coding:
  • • No other specific thoracic condition identified.

Applicable To

  • • Mid back pain
  • • Thoracic back pain

Important Notes

  • • Ensure documentation specifies thoracic region and excludes disc-related causes.

Chronic pain due to trauma

Billable Code
G89.21
Billable

Applicable To

  • • Chronic post-traumatic pain

Important Notes

  • • Ensure trauma history is well-documented.

Chronic pain due to post-surgical

Billable Code
G89.28
Billable

Applicable To

  • • Chronic post-surgical pain

Important Notes

  • • Ensure surgical history is well-documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.816

Mid back tenderness

Use to specify tenderness in the mid back region.

Frequently Asked Questions

What is the ICD-10 code for mid back pain?

The ICD-10 code for mid back pain is M54.6, used for unspecified thoracic spine pain.

How to document chronic mid back pain?

Document chronic mid back pain by specifying duration, location, and any related trauma or surgery.

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