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Home/Diagnosis/ICD-10 Coding for Pain in Lumbar Spine

ICD-10 Coding for Pain in Lumbar Spine

M54.50
M54.51
M54.59

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

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

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

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

documentation:
  • Absence of specific imaging or neurological findings

Applicable To

  • • Lumbago NOS

Important Notes

  • • Ensure documentation supports the lack of specific findings.

Vertebrogenic low back pain

Billable Code
M54.51
Billable

Applicable To

  • • Pain related to vertebral endplate changes

Important Notes

  • • Ensure imaging findings are documented.

Other specified low back pain

Billable Code
M54.59
Billable

Applicable To

  • • Non-vertebrogenic pain

Important Notes

  • • Document specific non-vertebrogenic findings.

Lumbago with sciatica, right side

Billable Code
M54.41
Billable

Applicable To

  • • Sciatica with low back pain

Important Notes

  • • Ensure laterality is documented.

Radiculopathy, lumbar region

Billable Code
M54.16
Billable

Applicable To

  • • Lumbar radiculopathy

Important Notes

  • • Document diagnostic test results.
Frequently Asked Questions

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

The ICD-10 code for unspecified low back pain is M54.50. It is used when the documentation lacks specific findings or when the pain is not further specified.

How do you code vertebrogenic low back pain?

Vertebrogenic low back pain is coded as M54.51, used when imaging confirms vertebral endplate changes.

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