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Home/Diagnosis/ICD-10 Coding for Musculoskeletal Pain

ICD-10 Coding for Musculoskeletal Pain

M79.10
M54.5

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

Also Known as:
Muscle Pain
Joint Pain
Myalgia
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Key Information: ICD-10 Coding for Musculoskeletal Pain

Essential facts and insights about ICD-10 Coding for Musculoskeletal Pain

Use ICD-10 code M79.10 for myalgia, unspecified site, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Myalgia, unspecified site

Billable Code
M79.10
Billable

Diagnostic Criteria

  • • Muscle pain documented without specific site

Applicable To

  • • General muscle pain

Important Notes

  • • Ensure documentation specifies the absence of specific site information.

Low back pain

Non-Billable
M54.5
Non-Billable

Diagnostic Criteria

    Applicable To

    • • Lumbago

    Important Notes

    • • Document any associated symptoms or findings that may indicate a different condition.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    G89.3

    Neoplasm related pain (acute) (chronic)

    Use when pain is directly related to a neoplastic condition.

    G89.21

    Chronic pain due to trauma

    Use when chronic pain management is the focus of the visit.

    Frequently Asked Questions

    What is the ICD-10 code for musculoskeletal pain?

    The ICD-10 code for unspecified musculoskeletal pain is M79.10. For specific sites, use codes like M54.5 for low back pain.

    How do you code chronic low back pain?

    Chronic low back pain is coded as M54.5. If the visit focuses on pain management, consider using G89.21 as the primary code.

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